Abstract
Objective—To determine the status of patients 10 years after referral for coronary artery bypass graft (CABG) surgery. Design—Retrospective analysis of case notes from all patients referred between 1 April 1981 and 31 March 1985. Full information gathered from hospital notes, GP records, and Registrar General for Scotland. Setting—District General Hospital, West Lothian, Scotland. Patients—102 patients referred for CABG during study period. Cardiac surgery was undertaken in Brompton Hospital, London, Royal Infirmary, Edinburgh, and Western Infirmary, Glasgow. Results—At 10 years after operation 32 patients had died (27 cardiac, five non-cardiac causes). Full data were not available for five patients. Of the 65 remaining patients 24 had no angina, 13 had had a repeat procedure (CABG or angioplasty), and 28 had angina. Conclusions—Long term benefits of CABG surgery is disappointing. Further steps are required to reduce progression of disease in this population. Keywords: coronary artery bypass surgery; repeat procedure; survival; audit
Full Text
The Full Text of this article is available as a PDF (72.3 KB).
Figure 1 .
Survival curve of the patients referred for CABG.
Figure 2 .
Percentage of survivors free from angina when year of symptom return is known.
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Alderman E. L., Corley S. D., Fisher L. D., Chaitman B. R., Faxon D. P., Foster E. D., Killip T., Sosa J. A., Bourassa M. G. Five-year angiographic follow-up of factors associated with progression of coronary artery disease in the Coronary Artery Surgery Study (CASS). CASS Participating Investigators and Staff. J Am Coll Cardiol. 1993 Oct;22(4):1141–1154. doi: 10.1016/0735-1097(93)90429-5. [DOI] [PubMed] [Google Scholar]
- Mattila P., Vento A., Ristikankare M., Mattila S. Multivariate analysis of operative mortality and late outcome after coronary bypass surgery. J Cardiovasc Surg (Torino) 1990 Mar-Apr;31(2):220–224. [PubMed] [Google Scholar]
- Nègre G., Nangou P., Boennec M., el Abadi S., François F., Barral M., Bessou D., Gippet J. Chirurgie coronaire chez le sujet âgé de 70 ans et plus. 65 cas. Presse Med. 1991 Sep 28;20(30):1429–1433. [PubMed] [Google Scholar]
- Peigh P. S., Swartz M. T., Vaca K. J., Lohmann D. P., Naunheim K. S. Effect of advancing age on cost and outcome of coronary artery bypass grafting. Ann Thorac Surg. 1994 Nov;58(5):1362–1367. doi: 10.1016/0003-4975(94)91914-3. [DOI] [PubMed] [Google Scholar]
- Petticrew M., McKee M., Jones J. Coronary artery surgery: are women discriminated against? BMJ. 1993 May 1;306(6886):1164–1166. doi: 10.1136/bmj.306.6886.1164. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Platt G. H., Svenson L. W., Woodhead S. E. Coronary artery bypass grafting in Alberta from 1984 to 1989. Can J Cardiol. 1993 Sep;9(7):621–624. [PubMed] [Google Scholar]
- Simons L. A., Simons J., Parfitt A. Coronary risk factors 6-12 months after coronary artery bypass grafting. Comparison of surveys in 1986, 1990 and 1994. Med J Aust. 1994 Nov 7;161(9):536–537. [PubMed] [Google Scholar]
- Weintraub W. S., Jones E. L., Craver J. M., Guyton R. A. Frequency of repeat coronary bypass or coronary angioplasty after coronary artery bypass surgery using saphenous venous grafts. Am J Cardiol. 1994 Jan 15;73(2):103–112. doi: 10.1016/0002-9149(94)90198-8. [DOI] [PubMed] [Google Scholar]
- Yusuf S., Zucker D., Peduzzi P., Fisher L. D., Takaro T., Kennedy J. W., Davis K., Killip T., Passamani E., Norris R. Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomised trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet. 1994 Aug 27;344(8922):563–570. doi: 10.1016/s0140-6736(94)91963-1. [DOI] [PubMed] [Google Scholar]