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The Journal of Thoracic and Cardiovascular Surgery, Vol 78, 452-454, Copyright © 1979 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Surgical treatment of left main and left main equivalent coronary artery disease

R Zajtchuk, RA Albus, TE Bowen and WH Brott

There is a tendency to equate left main (LM) and left main equivalent (LME) coronary artery disease in terms of the surgical risk and benefit. Eighty-seven patients with LM disease were compared to 78 patients with LME disease as to operative mortality rate and long-term benefits. One hundred percent follow-up was obtained. Although the two groups were similar preoperatively with regard to age, sex, and ventricular function, the operative results in the two groups differed. There was a significantly higher operative mortality rate in the LM group of patients (12.6% versus 2.5%). However, the incidence of graft patency and relief of symptoms was lower in the LME group of patients. The late mortality rate was 4% in both groups. LME disease appears to represent a subgroup of patients with three-vessel disease and cannot be equated with LM disease.


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E. A. Caracciolo, K. B. Davis, G. Sopko, G. C. Kaiser, S. D. Corley, H. Schaff, H. A. Taylor, and B. R. Chaitman
Comparison of Surgical and Medical Group Survival in Patients With Left Main Equivalent Coronary Artery Disease : Long-term CASS Experience
Circulation, May 1, 1995; 91(9): 2335 - 2344.
[Abstract] [Full Text]


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Copyright © 1979 by The American Association for Thoracic Surgery.