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©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Apr 26, 2017; 9(4): 339-346
Published online Apr 26, 2017. doi: 10.4330/wjc.v9.i4.339
Published online Apr 26, 2017. doi: 10.4330/wjc.v9.i4.339
Bilateral vs unilateral internal mammary revascularization in patients with left ventricular dysfunction
Batric Popovic, Yves Juilliere, Damien Voilliot, Département de Cardiologie, CHU Nancy, F-54000 Nancy, France
Pablo Maureira, Fabrice Vanhuyse, Jean Pierre Villemot, Service de Chirurgie des Maladies, Cardiovasculaires et Transplantations, CHU Nancy, F-54000 Nancy, France
Nicolas Danchin, Hôpital Européen Georges Pompidou, Assistance Publique des Hôpitaux de Paris (AP-HP) Université Paris Descartes, F-75000 Paris, France
Author contributions: Popovic B was responsible for study design, concept and test of the manuscript; Danchin N analysed the data and helped to draft the manuscript; Maureira P, Juilliere Y, Voilliot D, Vanhuyse F and Villemot JP helped to draft the manuscript.
Institutional review board statement: Our retrospective study of patients’ files was approved by the Commission Nationale Informatique et Libertés (CNIL), in keeping with French law for single-center usual care observational studies.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrolment.
Conflict-of-interest statement: None of the authors have any conflict of interest regarding the content of this article.
Data sharing statement: Consent was not obtained but the presented data are anonymized and risk of identification is low.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Batric Popovic, MD, PhD, Département de Cardiologie, CHU Nancy, rue de Morvan, F-54000 Nancy, France. b.popovic@chu-nancy.fr
Telephone: +33-38-3153232 Fax: +33-38-3154226
Received: October 14, 2016
Peer-review started: October 17, 2016
First decision: December 15, 2016
Revised: December 29, 2016
Accepted: January 16, 2017
Article in press: January 18, 2017
Published online: April 26, 2017
Peer-review started: October 17, 2016
First decision: December 15, 2016
Revised: December 29, 2016
Accepted: January 16, 2017
Article in press: January 18, 2017
Published online: April 26, 2017
Core Tip
Core tip: This study reports a daily practice observation of patients with multivessel coronary artery disease and left ventricular (LV) dysfunction undergoing surgical revascularization. We evaluate the periprocedural safety of bilateral internal mammary artery grafting (BIMA) in this high risk population and its long-term survival benefit compared with the left internal mammary artery grafting (LIMA) to left anterior descending artery with additional saphenous venous grafting (SVG). Our longitudinal analysis suggests that BIMA grafting can be performed with acceptable perioperative mortality in patients with LV dysfunction but there was no survival difference in our follow up in comparison with LIMA-SVG use.