A case report of emergency coronary artery bypass grafting (CABG) to an elderly high risk patient with severe left ventricular dysfunction
Nomura, F.; Hirata, N.; Sakakibara, T.; Nakano, S.; Kawashima, Y.
Nihon Kyobu Geka Gakkai 37(8): 1625-1629
1989
ISSN/ISBN: 0369-4739 PMID: 2809331 Document Number: 345826
Ischemic heart disease of elderly patients increased markedly and patients with high risk complications become to be candidates for CABG. Emergent CABG was undergone successfully on the high risk patient of 72 years with severe left ventricular dysfunction (EF 14%), old cerebral infarction, renal dysfunction, and Diabetes Mellitus. From this experience, CABG could be safely performed even in elderly patient with high risk, if the complications were avoided carefully. However, the long term problem may be the multifocal VPC due to left ventricular dysfunction including old myocardial infarction.