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Myocardial Revascularization

Authors :
J. Gerard Mudd
John E. Codd
Hendrick B. Barner
George C. Kaiser
Vallee L. Willman
Denis H. Tyras
Source :
Annals of Surgery. 188:331-340
Publication Year :
1978
Publisher :
Ovid Technologies (Wolters Kluwer Health), 1978.

Abstract

From January 1972 through December 1974, at Saint Louis University Medical Center (SLU), 345 patients similar to those of the VA Cooperative Coronary Artery Study received CABG. Operative mortality was SLU 2.3%, VA 5.6% (p < 0.05). Perioperative myocardial infarction rate was SLU 8.4%, VA 18% (p < 0.005). One year graft patency was SLU 87%, VA 71%; all grafts patent SLU 76%, VA 54%; at least one graft patent SLU 96%, VA 89%. SLU angina pectoris relief at five years was 90%. SLU patients free of myocardial infarction five years postoperatively was 83%. Comparative cumulative four year survivals were: [Table: see text] Cumulative four-year survival in 272 SLU patients (79%) completely revascularized was 94%, compared to SLU entire group of 95%, VA medical 86% (p < 0.002) and VA surgical 85% (p < 0.002). Comparing 1972-74 SLU results to VA medical and surgical groups, CABG prolonged life in patients with double and triple vessel disease and in those completely revascularized.

Details

ISSN :
00034932
Volume :
188
Database :
OpenAIRE
Journal :
Annals of Surgery
Accession number :
edsair.doi.dedup.....7f2b0efad6ee1bf34b314eea5818bfab
Full Text :
https://doi.org/10.1097/00000658-197809000-00008