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Updated: Aug 9, 2026

Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model
12:00

Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model

Published on: November 24, 2014

Aortocoronary artery bypass: present indications and risk factors

G J Reul, D A Cooley, F M Sandiford

    Archives of Surgery (Chicago, Ill. : 1960)
    |April 11, 1976
    PubMed

    Insights

    Coronary artery bypass surgery is effective for patients with severe coronary artery disease. Poor ventricular function and diffuse disease are key factors in mortality, suggesting broader recommendations for bypass surgery.

    Area of Science:

    • Cardiovascular Surgery
    • Cardiology
    • Clinical Outcomes

    Background:

    • Coronary artery occlusive disease necessitates surgical intervention for many patients.
    • Surgical outcomes depend on patient-specific risk factors and disease severity.

    Purpose of the Study:

    • To analyze the outcomes of coronary artery bypass surgery in a consecutive patient series.
    • To identify risk factors associated with early mortality and perioperative complications.

    Main Methods:

    • Retrospective analysis of 275 patients undergoing coronary artery bypass surgery in 1974.
    • Evaluation of patient demographics, cardiac function, and coronary artery disease extent.
    • Assessment of early mortality and perioperative myocardial infarction rates.

    Main Results:

    • Overall mortality was 1.8%, with perioperative myocardial infarction in 3.6% of patients.
    • Significant risk factors for mortality included diffuse coronary arteriosclerosis and impaired left ventricular function.
    • Patients over 60, those with New York Heart Association functional class IV, left main coronary artery stenosis, and preinfarction angina were identified.

    Conclusions:

    • Diffuse coronary arteriosclerosis and poor ventricular function are critical determinants of outcomes, often leading to incomplete revascularization.
    • Coronary artery bypass grafting is recommended for patients with intractable angina, impaired left ventricular function, and even asymptomatic individuals with positive stress electrocardiograms.

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