Surgican considerations in management of angina pectoris

In deciding on the best form of treatment for patients with angina pectoris, a substantial number of important factors must be carefully and individually considered. These include symptomatic status, extent and location of occlusive coronary artery disease, left ventricular functional status, and risk factors. Relief of angina pectoris with revascularization surgery can be expected in 80% to 90% of patients, with an operative mortality well below 5% when preoperative left ventricular function is normal or only moderately depressed.