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The Journal of Thoracic and Cardiovascular Surgery, Vol 82, 383-390, Copyright © 1981 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
AJ Buda, IL Macdonald, MJ Anderson, HD Strauss, TE David and ND Berman
The initial 102 patients who underwent aorta-coronary bypass grafting
between 1969 and 1971 were followed for a mean of 96 months (minimum
follow-up 7 years). Preoperative variables predictive of survival at 5
years were stability of angina, previous heart failure, and left
ventricular function. Stability of angina, previous heart failure, previous
myocardial infarction, and smoking were important predictors of symptomatic
status at 5 years. At operation, 62 patients had anatomic or technically
complete revascularization, whereas 40 had incomplete revascularization.
There was a significantly improved survival rate in those patients who were
completely revascularized. The 5 year survival rate was 84% for completely
revascularized patients compared to 96% for incompletely revascularized
patient (p less than 0.02). This improvement in survival was continued to 9
years. There was also a significant improvement in asymptomatic status of
the completely revascularized patients compared to the incompletely
revascularized patients. At 2 years, 75% of the completely revascularized
subjects were asymptomatic compared to 45% of the incompletely
revascularized patients. However, this difference disappeared after 5
years. Thus complete myocardial revascularization is superior to incomplete
revascularization in terms of survival and asymptomatic state. Preoperative
variables may be useful in predicting postoperative results.
ARTICLES
Long-term results following coronary bypass operation. Importance of preoperative actors and complete revascularization
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