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The Journal of Thoracic and Cardiovascular Surgery, Vol 73, 84-86, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
P Zubiate, JH Kay and AM Mendez
The results with medical treatment of the patient with coronary artery
disease and marked impairment of left ventricular function have been poor.
Of 79 patients deemed operable with an ejection fraction of 0.2 or less,
only 17 (22 per cent) were alive according to an acturial curve 5 years
later. We believed that surgery might offer a better outlook for these
critically ill patients. Therefore, since 1969, 140 patients with an
injection fraction of 0.2 or less were treated by myocardial
revascularization alone, with 31 hospital deaths. Actuarial curve reveals
that at 6 years, 59 per cent of the surgically treated patients are alive,
and only 22 per cent treated medically are alive at 5 years. It is
concluded that if the operative mortality rate is low enough, surgery
enhances the survival of patients who have drastic impairment of left
ventricular function. These patients are significantly improved clinically.
ARTICLES
Myocardial revascularization for the patient with drastic impairment of function of the left ventricle
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