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Related Experiment Videos

Multiple coronary bypass grafting: current mortality and morbidity.

G L Zumbro, G Shearer, M Fishback

    Southern Medical Journal
    |September 1, 1979
    PubMed
    Summary

    Coronary artery bypass grafting is safe and effective for patients with severe coronary artery disease, including those with stable angina. This study found a low operative mortality and morbidity, supporting its use in select patient groups.

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    Area of Science:

    • Cardiology
    • Cardiac Surgery

    Background:

    • Coronary artery bypass surgery (CABS) is increasingly common but its efficacy is debated in certain patient populations.
    • Critical reports question the benefits of CABS for specific patient groups.

    Purpose of the Study:

    • To review the safety and efficacy of multiple coronary bypass grafting for triple vessel disease.
    • To evaluate the outcomes of CABS in patients with high-grade double and triple vessel disease and stable angina.

    Main Methods:

    • Retrospective review of 276 patients undergoing multiple coronary bypass grafting between March 1976 and October 1978.
    • Inclusion of combined procedures such as valve replacement and ventricular aneurysmectomy.
    • Analysis of operative mortality, perioperative infarction, and other nonfatal complications.

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    Main Results:

    • Low operative mortality of 0.7% (2 deaths within 30 days) in 276 patients.
    • Perioperative infarction occurred in 4% of patients (11 patients).
    • Other nonfatal operative complications were reviewed and found to be manageable.

    Conclusions:

    • Coronary artery bypass surgery demonstrates overall safety and low morbidity in this patient cohort.
    • The findings support the recommendation of CABS for controversial subsets, including patients with high-grade double and triple vessel disease and stable angina.