Document Detail


Total arterial coronary bypass: long-term results.
MedLine Citation:
PMID:  16107100     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three groups of consecutive patients who had undergone primary elective coronary artery bypass operations were compared at 10 to 20 years of follow-up (mean, 13.6 years), in order to test the supposition that arterial conduits provide better long-term outcome than do the "standard" left internal mammary-to-left anterior descending coronary artery plus saphenous vein bypasses. The arterial group was split into groups A (all arterial) and B (2 or more arterial grafts, plus saphenous vein grafts). Control group C comprised the standard operations. The absence of saphenous vein conduit in group A was associated with fewer angiograms for symptoms, fewer reinterventions, and fewer cardiac deaths than those experienced in groups B and C. We conclude that the survival and cardiac quality-of-life advantage found in group A is attributable to the exclusive use of arterial conduits.
Authors:
Ferenc L Korompai; Wade L Knight
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  32     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2005  
Date Detail:
Created Date:  2005-08-18     Completed Date:  2005-10-14     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  135-8     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, Scott and White Clinic and Memorial Hospital, Texas A&M University Health Science Center College of Medicine, Temple, Texas 76508, USA. korompai@msn.com
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MeSH Terms
Descriptor/Qualifier:
Arteries / transplantation*
Cardiopulmonary Bypass
Case-Control Studies
Coronary Angiography
Coronary Artery Bypass / methods*,  mortality
Female
Follow-Up Studies
Humans
Internal Mammary-Coronary Artery Anastomosis
Male
Quality of Life
Saphenous Vein / transplantation
Survival Analysis
Time Factors
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