English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Background: there's icrease in number of patients with severe impaired left ventricle referred for CABG. Large number of studies showed that surgical intervention during this high risk patients have high survival and wonderful outcome compared to medical treatment.Aim of work: This study aims to evaluate our experience with coronary artery bypass surgery in patients with EF ( 25% up to 40%) either to perform surgery using off or on pump technique and try to reach conclusion about which technique may be safer regarding cardiac function.Patients and Methods: this prospective observational patient cohort study from August 2017 to July 2019 enclosed forty consecutive patients divided into 2 teams every of 20 patients either off or on pump technique according to surgeons expertise . Pre, intra and postoperative data were collected for all patients. All survivors were subjected to 6-months follow-up clinically and Echocardiograghy assessment.Results: Improvement of ejection fraction (EF) was encountered in our study; the mean 6-months operative EF improved for each teams by nearly equal (36% versus 37%) for off-pump and on-pump. There was no different statistical importance in information collected for each teams (p-value>0.05) relating to most points of comparison. Conclusion: Results of CABG in high risk patients was acceptable with on-pump and off-pump techniques with nearly comparable effect in our study in early 6-months after intervention. Intra-aortic ballone usage is valuable when indicated ,Our study was designed for early (6 months) post-operative.

ON-PUMP VERSUS OFF-PUMP CORONARY ARTERY BYPASS GRAFTING in PATIENTS with POOR LEFT VENTRICULAR FUNCTION