| Autor: |
Jeffery DL, Vijayanagar R, Bognolo DA, Eckstein PF, Spoto E Jr, Natarajan P, Willard EH 3rd, Connar RG |
| Jazyk: |
angličtina |
| Zdroj: |
The Annals of thoracic surgery [Ann Thorac Surg] 1983 Aug; Vol. 36 (2), pp. 193-201. |
| DOI: |
10.1016/s0003-4975(10)60456-0 |
| Abstrakt: |
Two hundred consecutive patients underwent myocardial revascularization for left main coronary artery disease between January, 1975, and December, 1981. The mean age of this group was 64 +/- 8 years, and 78.5% of the patients were men. The anginal pattern was chronic stable in 6% of the patients and progressive or unstable in the remainder. Resting electrocardiograms showed prior myocardial infarction in 45.5%. Left ventricular end-diastolic pressure was elevated in 145 patients, and ejection fraction was less than 50% in 40 patients. The mean number of bypass grafts per patient was 3.2 +/- 1.4 (standard deviation). Seventeen patients underwent major concomitant cardiovascular procedures. The operative mortality was 3.5%, and the incidence of perioperative infarction was 3%. Factors associated with reduced operative survival were increased age; unstable angina, or acute myocardial infarction, or both; female sex; circumflex-dominant circulation; and major concomitant procedures. Late mortality at a mean follow-up of 33.5 months was 6%, and 91% of the surviving patients assessed their quality of life as "excellent" or "good." |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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