Surgical Treatment of Angina Pectoris: Current Status

Dc, Wukasch; Da, Cooley; Gj, Reul; Rj, Hall; Vučinić, Marijana; Fm, Sandiford; Jc, Korman; Er, Kyger; Gl, Hallman

doi:10.1177/000331977702800305

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…The early mortality rates have improved, even though our indications for ACB have been broadened to include those patients who have angina pectoris in the presence of poor ventricular function (ejection fractions less than 0 2). As a rule only those patients with angina pectoris who have angiographic evidence of diffuse coronary arteriosclerosis that would preclude technically satisfactory grafts are refused operation (Wukasch et al, 1977a). When higher risk patients are excluded from the series, early mortality is in the range of 1%, the mortality con-415 416 sidered acceptable for most elective major surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Direct myocardial revascularisation: experience with 9364 operations.

Cooley¹,

Wukasch²,

Bruno³

et al. 1978

Thorax

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Hail, R J (1978). Thorax, 33,[411][412][413][414][415][416][417]. Direct myocardial revascularisation: experience with 9364 operations. 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.

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Section: Discussionmentioning

confidence: 99%