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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2024, Number 1

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Cir Card Mex 2024; 9 (1)

Optimizing outcomes in high-risk patients with low left ventricle ejection fraction undergoing coronary artery bypass grafting: a case report

De La Cerda-Belmonta GA, Garza-De La Mazab A, Cepeda-Floresc MG, Vázquez-Gonzáleza RM, Morales-Marína CA, Cruz-Ramosd F, Pedroza-Solisa E

Language: English
References: 22
Page: 30-34
PDF size: 223.55 Kb.


ABSTRACT

Managing patients with coronary artery disease and low ejection fraction remains a challenge despite medical advancements. Coronary artery bypass grafting has shown benefits for patients with reduced ejection fraction, but it also carries risks, such as post-cardiotomy shock. Pre and intraoperative strategies, like levosimendan preconditioning, on-pump beating- heart technique, comprehensive revascularization, and backup mechanical support, aim to optimize outcomes. Tailored multidisciplinary (Heart-Team) approaches minimize the risks while maximizing outcomes in high-risk patients.


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