Direct coronary arterial revascularization. Experience in 1386 cases
Schoonmaker, F.W.; Grow, J.B.; Prevedel, A.E.; Hopeman, A.R.; Demong, C.V.
Rocky Mountain Medical Journal 70(12): 17-22
1973
ISSN/ISBN: 0035-760X PMID: 4543913 Document Number: 5175
During the past six years 1386 patients with 2871 grafts have been revascularized. Total overall mortality is 7 per cent with a higher per cent mortality when there is compromise of the left ventricle. Septal defect closure, valve replacement, and resection of ventricular aneurysms and akinetic or dyskinetic areas, have been combined with grafting. Direct internal mammary anastomosis has been done in 31 patients for a total of 51 grafts. Postoperative evaluations have showed marked improvement in clinical symptoms in 82 per cent of the patients, fair improvement in 14 per cent, and no clinical improvement in 4 per cent, if one or more grafts were patent. The operative technics have been described.
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