Abstract

In this global and RWMA, both are assessed in systole and diastole which gives information about the wall and the artery to be grafted. It also helps in assessing the EF. IOTOE also helps in giving information about giving order of preference for grafting. It also helps to decide the need for IABP and ionotropes to maintain the haemodynamic stability. Septal wall examination before grafting showed, dyskinesia, akinesia, severe hypokinesia and mild hypokinesia in 7 (10%), 8 (11%), 11 (15%) and 15 (21%) patients. There were 31 (43%) patients with normokinetic wall movement. Post grafting there was improvement as 48 (67%) patients had normokinetic wall movement. Mild hypokinetic wall movement was seen in 23 (32%) patients and only 1 (1%) patient had severe hypokinesia. On assessment, lateral wall of 3 (4%) patients had dyskinesia, 4 (6%) patients had akinesia and 11 (15%) patients had severe hypokinesia before grafting. There were 30 (42%) patients with normokinetic wall movement. After grafting, normokinesia was seen in 52 (72%) patients and mild hypokinesia in 20 (28%) patients. There were no akinetic, dyskinetic and severely hypokinetic wall movement in any of the patients.

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