Document Detail


Surgical treatment of 200 consecutive patients with left main coronary artery disease.
MedLine Citation:
PMID:  6603826     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two hundred consecutive patients underwent myocardial revascularization for left main coronary artery disease between January, 1975, and December, 1981. The mean age of this group was 64 +/- 8 years, and 78.5% of the patients were men. The anginal pattern was chronic stable in 6% of the patients and progressive or unstable in the remainder. Resting electrocardiograms showed prior myocardial infarction in 45.5%. Left ventricular end-diastolic pressure was elevated in 145 patients, and ejection fraction was less than 50% in 40 patients. The mean number of bypass grafts per patient was 3.2 +/- 1.4 (standard deviation). Seventeen patients underwent major concomitant cardiovascular procedures. The operative mortality was 3.5%, and the incidence of perioperative infarction was 3%. Factors associated with reduced operative survival were increased age; unstable angina, or acute myocardial infarction, or both; female sex; circumflex-dominant circulation; and major concomitant procedures. Late mortality at a mean follow-up of 33.5 months was 6%, and 91% of the surviving patients assessed their quality of life as "excellent" or "good."
Authors:
D L Jeffery; R Vijayanagar; D A Bognolo; P F Eckstein; E Spoto; P Natarajan; E H Willard; R G Connar
Related Documents :
9207636 - Evidence for prevention of death and myocardial infarction with platelet membrane glyco...
8901726 - Influence of sex on the use of cardiac procedures in patients presenting to the emergen...
3315416 - Indications for coronary artery bypass graft surgery.
3101476 - Dynamic variations in resistance of coronary arterial narrowings in angina pectoris at ...
22255286 - Cardiac sounds from a wearable device for sternal seismocardiography.
21967486 - Influence of injectable hyaluronic acid hydrogel degradation behavior on infarction-ind...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  36     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1983 Aug 
Date Detail:
Created Date:  1983-09-09     Completed Date:  1983-09-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  193-201     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Coronary Artery Bypass*
Coronary Disease / diagnosis,  surgery*
Female
Humans
Male
Middle Aged
Mortality
Postoperative Complications

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


Previous Document:  Porcine bioprosthetic valve calcification in bovine left ventricle-aorta shunts: studies of the depo...
Next Document:  Local anesthetic activity and disopyramide toxicity.