Direct myocardial revascularisation: experience with 9364 operations
| Autor: | Hall Rj, George J. Reul, D C Wukasch, F Bruno, S L Zillgitt, Denton A. Cooley, Sandiford Fm |
|---|---|
| Rok vydání: | 1978 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Myocardial Infarction Coronary Disease Postoperative Complications Sex Factors Humans Medicine Coronary Artery Bypass Surgical treatment Aged business.industry Operative mortality Age Factors Myocardial revascularisation Middle Aged Symptomatic relief Surgery Life expectancy Female business Research Article Follow-Up Studies Surgical patients |
| Zdroj: | Thorax. 33:411-417 |
| ISSN: | 0040-6376 |
| DOI: | 10.1136/thx.33.4.411 |
| Popis: | Between July 1968 and December 1976, 9364 consecutive patients with coronary insufficiency underwent direct myocardial revascularisation using aortocoronary bypass (ACB). Among these patients 8017 had ACB alone, and the remaining 1347 had ACB in addition to correction of other cardiac and vascular lesions. In the series of patients having ACB alone the hospital (early) mortality was 3.9%, but for 2383 surgical patients in 1976 this figure was 2.2%. Operative mortality was higher for women (6.85%) than for men (3.5%), but late survival was about the same for both sexes. Among surviving patients 88% were improved or symptom-free after undergoing ACB. According to our data, at the end of eight years 80% of the patients will be survivors. These results, when compared with other series of patients treated medically, indicate the superiority of surgical treatment both in terms of symptomatic relief and also in increased life expectancy. |
| Databáze: | OpenAIRE |
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