Epicardial Cardioverter-Defibrillator Implantation Concomitant with Coronary Artery Bypass in Patients with Low Ejection Fraction

Year 2018, Volume: 21 Issue: 3, 245 - 246, 02.12.2018

Ahmet Barış Durukan Ahmet Ünlü Ali Cevat Tanalp

Abstract

Patients
with severe left ventricular failure are directed to surgical revascularization
owing to possibilities of improved survival and the associated postoperative
functional status. However, when a postoperative ejection fraction > 35% is
unlikely, patients are still at increased risk for sudden cardiac death due to
malignant arrhythmias. We documented our results in patients with an ejection
fraction < 35% who were concomitantly implanted with a
cardioverter-defibrillator by surgical revascularization. We believe that
simultaneous surgery is advantageous in terms of preventing sudden cardiac
death in the early postoperative period and that it lacks necessity for further
intervention.

Keywords

Heart failure, coronary artery bypass, defibrillators, implantable, death, sudden, cardiac

Düşük Ejeksiyon Fraksiyonlu Hastalarda Koroner Baypas Cerrahisi ile Eş zamanlı Epikardiyal Kardiyoverter-Defibrilatör İmplantasyonu

Abstract

Ciddi
sol ventrikül disfonksiyonu olan hastalar postoperatif artmış yaşam süresi ve
düzelmiş fonksiyonel durum sebebiyle cerrahi revaskülarizasyona
yönlendirilmektedir. Ancak, eğer postoperatif ejeksiyon fraksyonu > %35
olacak gibi değilse, hastalar halen malign aritmiler sebebiyle ani kardiyak
ölüm için risk altındadır. Biz burada ejeksiyon fraksiyonu < %35 olan,
cerrahi revaskülarizasyon ile eş zamanlı kardiyoverter-defibrilatör
implantasyonu yapılan hasta sonuçlarımızı dökümante ettik. Biz bu hastalarda
erken postoperatif dönemde ani kardiyak ölümün önlenmesi ve ikinci girişime
ihtiyaç olmaması sebebiyle simültane cerrahinin avantajlı olduğunu düşünüyoruz.

Keywords

Kalp yetmezliği, koroner arter baypas, implante edilebilir defibrilatör, ani kardiyak ölüm

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