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Farzan Filsoufi, MD, Parwis B. Rahmanian, MD, Javier G. Castillo, MD, Joanna Chikwe, MD, Annapoorna S. Kini, MD, David H. Adams, MD

September 01, 2007 | The Annals of Thoracic Surgery

Coronary artery bypass grafting (CABG) is a well-accepted therapeutic approach in patients with symptomatic multivessel coronary artery disease and severely depressed left ventricular function. However, the potential impact of off-pump CABG in this group of patients remains unknown. In addition, there are only scarce data regarding long-term survival and its predictors in this patient population. ... Excellent results after CABG can be expected in patients with EF of 0.30 or less, with minimal increase in mortality and acceptable postoperative morbidity. Long-term survival remains limited, but recent results are substantially better than historical reports. Careful preoperative patient selection and perioperative management are essential in these patients undergoing CABG.

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