Document Detail


Results of reoperation for recurrent angina pectoris.
MedLine Citation:
PMID:  299807     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although a coronary bypass operation improves the quality of life and possibly prolongs it, a small percentage of patients do not have satisfactory results and require reoperation. From July, 1970, to March 1975, 358 patients underwent coronary bypass for chronic disabling or preinfarction angina. Angina requiring operation recurred in 24 men and 2 women. Hyperlipoproteinemia was present in 19 of the 26 (73%), and 3 patients had early-onset diabetes mellitus. Only 2 of 14 patients with progression of arteriosclerosis were helped by a second operation. Of 7 patients with occluded grafts, local disease, and no progression, 5 were helped by reoperation. Patients with occluded coronary bypass grafts without progression of arteriosclerosis benefit substantially from a second revascularization procedure. Aguarded prognosis must be held, however, for those with progression of arteriosclerosis with hyperlipoproteinemia or juvenile-onset diabetes who undergo reoperation. Patients with initially diffuse disease and graft occlusion also seem to benefit less from a second operation.
Authors:
W I Norwood; L H Cohn; J J Collins
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  23     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1977 Jan 
Date Detail:
Created Date:  1977-02-24     Completed Date:  1977-02-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  9-13     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Angina Pectoris / surgery*
Arteriosclerosis / complications
Coronary Artery Bypass*
Coronary Disease / complications
Diabetes Complications
Female
Humans
Hyperlipidemias / complications
Hypertension / complications
Male
Middle Aged
Recurrence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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