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The Journal of Thoracic and Cardiovascular Surgery, Vol 69, 625-630, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Surgical management for acute coronary insufficiency with three year's follow-up

GL Hammond and RA Poirier

In this report, acute coronary sufficiency is defined as unstable angina requiring narcotics for relief and an unstable electrocardiogram with or without transient mild enzyme elevations. Forty-five consecutive patients with this syndrome underwent coronary artery grafting with the saphenous vein within 48 hours of the onset of symptoms. They were followed for 3 years. There was an 8.8 per cent operative mortality rate. One long-term survivor sustained a fatal myocardial infarction 18 months postoperatively. One nonfatal myocardial infarction occurred 6 weeks postoperatively. Therefore, the 3 year cumulative mortality rate was 11 per cent and the 3 year myocardial infarction rate was 4 per cent. Thirty-eight patients are in Class I clinical status, 1 is in Class II, and 1 is in Class III.

This article has been cited by other articles:

				C. B. Beckman, A. S. Geha, G. L. Hammond, and A. E. Baue Results and Complications of Intraaortic Balloon Counterpulsation Ann. Thorac. Surg., December 1, 1977; 24(6): 550 - 559. [Abstract] [PDF]