{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T14:22:33Z","timestamp":1762957353343},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"1187","license":[{"start":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T00:00:00Z","timestamp":1706832000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>We compared total arterial revascularization (TAR) versus conventional revascularization (CR) in terms of left ventricular function recovery in patients with multivessel coronary artery disease (CAD) and reduced left ventricular ejection fraction (LVEF).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted a retrospective cohort study of 162 consecutive patients with multivessel CAD and reduced LVEF who underwent isolated coronary artery bypass grafting at our institution between January 2013 and July 2022. We assessed left ventricular function by transthoracic echocardiography at admission, before discharge, and at follow-up of 3, 6, and 12\u00a0months, using LVEF, global longitudinal peak strain, end-diastolic volume index, and end-systolic volume index. We also evaluated mitral valve regurgitation and graft patency rate at 1 year.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The TAR group had a significantly higher increase in LVEF and global longitudinal peak strain, and a significantly lower decrease in end-diastolic volume index and end-systolic volume index than the CR group at 6 and 12\u00a0months after surgery. The TAR group also had a significantly lower degree of mitral valve regurgitation than the CR group at all-time points within 12\u00a0months after surgery. The TAR group had a significantly higher graft patency rate than the CR group at 12\u00a0months. There was no significant difference in hospital mortality or repeat revascularization between the groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>TAR was associated with better recovery of left ventricular function than CR in patients with multivessel CAD and reduced LVEF. Further studies are needed to confirm these findings in this high-risk population.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/postmj\/qgae005","type":"journal-article","created":{"date-parts":[[2024,2,3]],"date-time":"2024-02-03T15:13:33Z","timestamp":1706973213000},"page":"671-678","source":"Crossref","is-referenced-by-count":2,"title":["Left ventricular recovery after total arterial coronary artery bypass grafting versus conventional coronary artery bypass grafting in patients with multivessel coronary artery disease and reduced left ventricular ejection fraction"],"prefix":"10.1093","volume":"100","author":[{"given":"Zhi-qin","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujian Heart Medical Center, Fujian Medical University Union Hospital , Fuzhou 350001 , P. R. China"},{"name":"Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fujian Province University , Fuzhou 350001 , P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiujun","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujian Heart Medical Center, Fujian Medical University Union Hospital , Fuzhou 350001 , P. R. China"},{"name":"Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fujian Province University , Fuzhou 350001 , P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zheng","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujian Heart Medical Center, Fujian Medical University Union Hospital , Fuzhou 350001 , P. R. China"},{"name":"Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fujian Province University , Fuzhou 350001 , P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liang-wan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujian Heart Medical Center, Fujian Medical University Union Hospital , Fuzhou 350001 , P. R. China"},{"name":"Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fujian Province University , Fuzhou 350001 , P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao-fu","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujian Heart Medical Center, Fujian Medical University Union Hospital , Fuzhou 350001 , P. R. China"},{"name":"Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fujian Province University , Fuzhou 350001 , P. R. 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