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. 1978 Aug;33(4):411–417. doi: 10.1136/thx.33.4.411

Direct myocardial revascularisation: experience with 9364 operations.

D A Cooley, D C Wukasch, F Bruno, G J Reul Jr, F M Sandiford, S L Zillgitt, R J Hall
PMCID: PMC470906  PMID: 308709

Abstract

Between July 1968 and December 1976, 9364 consecutive patients with coronary insufficiency underwent direct myocardial revascularisation using aortocoronary bypass (ACB). Among these patients 8017 had ACB alone, and the remaining 1347 had ACB in addition to correction of other cardiac and vascular lesions. In the series of patients having ACB alone the hospital (early) mortality was 3.9%, but for 2383 surgical patients in 1976 this figure was 2.2%. Operative mortality was higher for women (6.85%) than for men (3.5%), but late survival was about the same for both sexes. Among surviving patients 88% were improved or symptom-free after undergoing ACB. According to our data, at the end of eight years 80% of the patients will be survivors. These results, when compared with other series of patients treated medically, indicate the superiority of surgical treatment both in terms of symptomatic relief and also in increased life expectancy.

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Selected References

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

  1. Braunwald E. Coronary-artery surgery at the crossroads. N Engl J Med. 1977 Sep 22;297(12):661–663. doi: 10.1056/NEJM197709222971209. [DOI] [PubMed] [Google Scholar]
  2. Bruschke A. V., Proudfit W. L., Sones F. M., Jr Progress study of 590 consecutive nonsurgical cases of coronary disease followed 5-9 years. I. Arterographic correlations. Circulation. 1973 Jun;47(6):1147–1153. doi: 10.1161/01.cir.47.6.1147. [DOI] [PubMed] [Google Scholar]
  3. CUTLER S. J., EDERER F. Maximum utilization of the life table method in analyzing survival. J Chronic Dis. 1958 Dec;8(6):699–712. doi: 10.1016/0021-9681(58)90126-7. [DOI] [PubMed] [Google Scholar]
  4. Cooley D. A., Hallman G. L., Bloodwell R. D. Definitive surgical treatment of anomalous origin of left coronary artery from pulmonary artery: indications and results. J Thorac Cardiovasc Surg. 1966 Dec;52(6):798–808. [PubMed] [Google Scholar]
  5. HALLMAN G. L., COOLEY D. A., MCNAMARA D. G., LATSON J. R. SINGLE LEFT CORONARY ARTERY WITH FISTULA TO RIGHT VENTRICLE: RECONSTRUCTION OF TWO-CORONARY SYSTEM WITH DACRON GRAFT. Circulation. 1965 Aug;32:293–297. doi: 10.1161/01.cir.32.2.293. [DOI] [PubMed] [Google Scholar]
  6. Mathur V. S., Guinn G. A., Anastassiades L. C., Chahine R. A., Korompai F. L., Montero A. C., Luchi R. J. Surgical treatment for stable angina pectoris. Prospective randomized study. N Engl J Med. 1975 Apr 3;292(14):709–713. doi: 10.1056/NEJM197504032921401. [DOI] [PubMed] [Google Scholar]
  7. Murphy M. L., Hultgren H. N., Detre K., Thomsen J., Takaro T. Treatment of chronic stable angina. A preliminary report of survival data of the randomized Veterans Administration cooperative study. N Engl J Med. 1977 Sep 22;297(12):621–627. doi: 10.1056/NEJM197709222971201. [DOI] [PubMed] [Google Scholar]
  8. Wukasch D. C., Cooley D. A., Reul G. J., Jr, Hall R. J., Vucinic M., Sandiford F. M., Korman J. C., Kyger E. R., 3rd, Hallman G. L. Surgical treatment of angina pectoris: current status. Angiology. 1977 Mar;28(3):169–180. doi: 10.1177/000331977702800305. [DOI] [PubMed] [Google Scholar]
  9. Wukasch D. C., Hall R. J., Cooley D. A., Reul G. J., Jr, Oglietti J. M., Kyger E. R., Sandiford F. M., Hallman G. L. Surgical versus medical treatment of coronary artery disease: long-term survival. Vasc Surg. 1976 Nov-Dec;10(5):300–314. doi: 10.1177/153857447601000507. [DOI] [PubMed] [Google Scholar]

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