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Basylev V.V.

Federal Center for Cardiovascular Surgery

Tungusov D.S.

Federal Center of Cardiovascular Surgery

Mikulyak A.I.

Federal Center of Cardiovascular Surgery

Senzhapov I.Ya.

Federal Center of Cardiovascular Surgery

Nachkebiya B.R.

Federal Center of Cardiovascular Surgery

SYNTAX Score as a predictor of long-term mortality in patients with left ventricular ejection fraction less than 30% and left ventricular aneurysm Menicanti type II and III

Authors:

Basylev V.V., Tungusov D.S., Mikulyak A.I., Senzhapov I.Ya., Nachkebiya B.R.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(2): 122‑126

DOI: 10.17116/kardio202215021122

Views: 1113

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To cite this article:

Basylev VV, Tungusov DS, Mikulyak AI, Senzhapov IYa, Nachkebiya BR. SYNTAX Score as a predictor of long-term mortality in patients with left ventricular ejection fraction less than 30% and left ventricular aneurysm Menicanti type II and III. Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(2):122‑126. (In Russ.)
https://doi.org/10.17116/kardio202215021122

 
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OBJECTIVE

To assess the effect of coronary artery lesion on long-term outcomes after left ventricular (LV) reconstruction in patients with LV aneurysm Menicanti type II and III and ejection fraction <30%.

MATERIAL AND METHODS

A retrospective single-center study included 156 patients with LV aneurysm Menicanti type II and III and reduced ejection fraction (<30%). SYNTAX Score was used to estimate severity of coronary lesion.

RESULTS

Four patients died in early postoperative period from low cardiac output syndrome and subsequent multiple organ failure. The follow-up period was up to 12 years. Sixteen patients died in long-term postoperative period. Multiple regression analysis was performed to identify risk factors of mortality.

CONCLUSION

SYNTAX Score is a predictor of long-term mortality after LV reconstruction in patients with LV ejection fraction <30%. Correlation between mortality and SYNTAX Score appears at SYNTAX Score <17.

Keywords:

left ventricular aneurysm
hibernating myocardium
low left ventricular ejection fraction

Authors:

Basylev V.V.

Federal Center for Cardiovascular Surgery

Tungusov D.S.

Federal Center of Cardiovascular Surgery

Mikulyak A.I.

Federal Center of Cardiovascular Surgery

Senzhapov I.Ya.

Federal Center of Cardiovascular Surgery

Nachkebiya B.R.

Federal Center of Cardiovascular Surgery

Received:

26.04.2021

Accepted:

14.05.2021

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