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  • Title: [Coronary artery bypass grafting for a patient with left ventricular ejection fraction of 16%: a case report and review of the Japanese literature].
    Author: Aiba M, Otaki A, Ishikawa S, Sakata K, Takahashi T, Sato Y, Suzuki M, Koyano T, Morishita Y.
    Journal: Kyobu Geka; 1995 Sep; 48(10):861-4. PubMed ID: 7474588.
    Abstract:
    A 65-year-old man with left ventricular ejection fraction (LVEF) of 16% successfully underwent coronary artery bypass grafting (CABG). CABG used to be contraindicative for patients with LVEF below 20%. However, such patients are recently involved to indication of CABG if viability of the myocardium is proved. We consider CABG is indicated for a patient who keeps a sufficient cardiac output despite a low level of LVEF. Intraaortic balloon pumping which was started immediately after the induction of anesthesia was effective. Only eight patients with LVEF below 20% have undergone CABG in Japan. Thus, we reported our patient with some discussion on operative indication and perioperative management.
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