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[Surgery of aortic disease with coronary heart disease]
M Endo1, A Hashimoto, K Tsuchida
1Heart Institute of Japan, Tokyo Women's Medical College, Japan.
Nihon Geka Gakkai Zasshi
|September 1, 1989
Insights
Coronary artery bypass grafting (CABG) in patients with aorto-vascular disease had 0% operative mortality. Subsequent vascular surgery on CABG patients had a 3.2% mortality rate.
Area of Science:
- Cardiovascular Surgery
- Vascular Disease Management
Context:
- Between 1978 and 1989, 1200 patients underwent coronary artery bypass grafting (CABG).
- A subset of 76 CABG patients were identified with coexisting aorto-vascular disease.
- Thirty-one of these patients subsequently required additional vascular surgery.
Purpose:
- To evaluate the operative mortality associated with coronary artery bypass grafting (CABG) in patients with concurrent aorto-vascular disease.
- To assess the safety and outcomes of performing separate vascular surgery in patients who have already undergone CABG.
Summary:
- The study analyzed outcomes for 76 patients with aorto-vascular disease who underwent CABG, reporting a 0% operative mortality for this procedure (0/76).
- For the 31 CABG patients who subsequently required vascular surgery, the operative mortality was 3.2% (1/31).
- The overall operative mortality for the combined procedures in this cohort was 1.1% (1/91).
Impact:
- Highlights the safety of CABG in patients with aorto-vascular disease.
- Provides data on the risks of subsequent vascular interventions in this patient group.
- Informs surgical decision-making for patients with complex cardiovascular and vascular conditions.
Abstract:
From 1978 through 1989, 1200 patients underwent attempted coronary surgery. Seventy-six CABG-patients were recognized aorto-vascular disease. Thirty-one CABG-patients were operated with vascular surgery. Operative mortality of CABG was 0% (0/76). Operative mortality of vascular surgery was 3.2% (1/31). Total operative mortality was 1.1% (1/91).