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[Proceedings: Clinical findings and coronary morphology before and after aorto-coronary venous bypass]
Insights
Aortocoronary vein graft bypass surgery improved symptoms in most patients, with 78% graft patency. Improved angina correlated with graft patency and vascularization, not resting time intervals.
Area of Science:
- Cardiology
- Vascular Surgery
Abstract:
37 patients (mean age 51+/-8 years) were clinically and angiographically investigated before and 11+/-5 months after implantation of an aortocoronary vein graft. The rate of bypass patency was 78%. Postoperatively 57% of the patients were free of symptoms, 35% were improved and 8% unimproved or worse. The reduced incidence of angina pectoris during exercise testing appears to be correlated with graft patency, an improved vascularization index and probably the absence of preoperative myocardial infarction. The systolic time intervals and the lung-ear time at rest are of no value for differentiation of improved and unimproved patients.