A 64-year-old male patient was brought to us with complaints of breathlessness and chest pain. He had had these problems for one month and had been in and out of the hospital for the same during the past month. On his arrival at the hospital, he showed signs and symptoms of cardiac failure. Upon the initial investigation, it was found that he had Pulmonary Edema and rising serum creatinine of 2. He was medically optimized and investigated upon further.
Upon workup, it was found that he had a low EF of 15 percent. CAG revealed that he had a severe triple vessel disease. He underwent further workup with PET scan for myocardial viability.
Consequently, he underwent Coronary Artery Bypass Surgery (CABG). In the process, he received three grafts on beating heart: SVG to OM, SVG to PDA, and LIMA to LAD, all with IABP support. Post the surgery, the patient had an uneventful recovery.
On follow-up after months, it was found that with the help of repeated Echo, his EF had improved to 25 percent.
Good revascularization is still a time-tested gold-standard treatment process. Moreover, it should also be offered to patients with low EF.