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. 1972 Jun 10;2(5814):644–648. doi: 10.1136/bmj.2.5814.644

Venous Graft Surgery in Treatment of Coronary Heart Disease

Donald Ross, Richard Sutton, John Dow, Lorenzo Gonzalez-Lavin, Grady Hendrix, Keith Jefferson, Lawson McDonald, Michael Petch, Charles Smithen, Edgar Sowton
PMCID: PMC1788429  PMID: 4537450

Abstract

Sixty-seven patients have had aortocoronary venous graft bypass surgery by one surgeon for the relief of symptoms of severe coronary heart disease, including eight emergency operations. The overall operative, hospital, and late mortality was low in patients with favourable myocardial function and no previous myocardial infarction. There was a 7% mortality in patients with a normal preoperative chest radiogram, 8% mortality when the left ventricular end-diastolic pressure was normal preoperatively, and a 5% mortality in patients who had normal left ventricular angiograms. The overall mortality in all elective operations for cardiac pain resistant to medical treatment was 15·8%. 89% of survivors improved; 67% are pain-free. Exercise tolerance in survivors is increased by 135%, atrial pacing results are improved by 10%. Left ventricular end-diastolic pressure is unchanged. Left ventricular function on angiography is improved. The improvement in left ventricular function assessed objectively correlates positively with vein-graft patency, as does freedom from angina pectoris.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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