Abstract
Ischemic cardiomyopathy remains one of the largest subgroups of the growing epidemic of heart failure. Coronary artery bypass grafting remains an important therapeutic option for select patients with ischemic cardiomyopathy. Though the techniques of revascularization are established, the imaging modalities to determine the potential for myocardial recovery remain imprecise. Different imaging modalities to determine myocardial viability and ischemic burden will be discussed. Correlating areas of viability with coronary anatomy suitable for revascularization is currently the recommended strategy.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Gheorghiade M, Sopko G, De Luca L, Velazquez EJ, Parker JD, Binkley PF, et al. Navigating the crossroads of coronary artery disease and heart failure. Circulation. 2006;114:1202–13.
Passamani E, Davis K, Gillespie M, Killip T. and the CASS Principal Investigators and their associates. A randomized trial of coronary artery bypass surgery. Survival in patients with low ejection fraction. N Engl J Med. 1985;312:1665–71.
Velazquez E, Lee K, Deja M, Jain A, Sopko G, Marchenko A, et al. Coronary-artery bypass surgery in patients with left ventricular dysfunction. N Engl J Med. 2011;364:1607–16.
Allman KC, Shaw LJ, Hachamovitch R, Udelson JE. Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. J Am Coll Cardiol. 2002;39(7):1151–8.
Ross Jr J. Myocardial perfusion–contraction matching. Implications for coronary heart disease and hibernation. Circulation. 1991;83(3):1076–83.
Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of patients with acute myocardial infarction). J Am Coll Cardiol. 2004;44:E1–211.
Bonow RO. The hibernating myocardium: implications for management of congestive heart failure. Am J Cardiol. 1995;75(3):17A–25.
Bax JJ, Poldermans D, Elhendy A, Cornel JH, Boersma E, Rambaldi R, et al. Improvement of left ventricular ejection fraction, heart failure symptoms and prognosis after revascularization in patients with chronic coronary artery disease and viable Âmyocardium detected by dobutamine stress echocardiography. J Am Coll Cardiol. 1999;34(1):163–9.
Zaglavara T, Pillay T, Karvounis H, Haaverstad R, Parharidis G, Louridas G, et al. Detection of myocardial viability by dobutamine stress echocardiography: incremental value of diastolic wall thickness measurement. Heart. 2005;91(5):613–7.
Travin MI, Bergmann SR. Assessment of myocardial viability. Semin Nucl Med. 2005;35(1):2–16.
Peovska I, Maksimovic J, Vavlukis M, Gorceva DP, Majstorov V. Functional outcome and quality of life after coronary artery bypass surgery in patients with severe heart failure and hibernated myocardium. Nucl Med Commun. 2008;29(3):215–21.
Lalonde L, Ziadi MC, Beanlands R. Cardiac positron emission tomography: current clinical practice. Cardiol Clin. 2009;27(2):237–55.
Weinsaft JW, Klem I, Judd RM. MRI for the assessment of myocardial viability. Cardiol Clin. 2007; 25(1):35–56.
Nardi P, Pellegrino A, Scafuri A, Colella D, Bassano C, Polisca P, et al. Long-term outcome of coronary artery bypass grafting in patients with left ventricular dysfunction. Ann Thorac Surg. 2009;87(5): 1401–7.
Shapira OM, Hunter CT, Anter E, Bao Y, DeAndrade K, Lazar HL, et al. Coronary artery bypass grafting in patients with severe left ventricular dysfunction–early and mid-term outcomes. J Card Surg. 2006;21(3): 225–32.
Filsoufi F, Rahmanian PB, Castillo JG, Chikwe J, Kini AS, Adams DH. Results and predictors of early and late outcome of coronary artery bypass grafting in patients with severely depressed left ventricular function. Ann Thorac Surg. 2007;84(3):808–16.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media New York
About this chapter
Cite this chapter
Sun, B.C. (2013). Surgical Coronary Artery Revascularization in Patients with Advanced Ischemic Cardiomyopathy. In: Morgan, J., Naka, Y. (eds) Surgical Treatment for Advanced Heart Failure. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6919-3_3
Download citation
DOI: https://doi.org/10.1007/978-1-4614-6919-3_3
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-6918-6
Online ISBN: 978-1-4614-6919-3
eBook Packages: MedicineMedicine (R0)