By M. E. M. Macedo (auth.), Universitäts-Professor Dr. med. Felix Unger (eds.)
In this ebook, the newest ends up in coronary artery surgical procedure are mentioned and the standards decisive for long term diagnosis are elucidated. the symptoms for re-operation are thought of and redefined, and the surgical strategy with reference to a number of skip is defined. the purpose of the e-book is to depict basically long term prognoses and to determinate the longer term wishes of coronary artery surgical procedure within the subsequent decade. This far-sighted method additionally makes the publication a beneficial reference for the making plans and extension of cardiology facilities in Europe. 1
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Extra resources for Coronary Artery Surgery in the Nineties
Entire material divided into one-, two-, and three-vessel disease and left main stenosis as well as degree of left ventricular dysfunction 25 Long-Term Survival After Coronary Bypass Survival curve. Three vessel disease -lVtunction 100 90 o normol LVfunction • moderately depressed LVfunction • severely depressed lVfunction 80 70 J o 128 c • • 345 135 i 105 284 109 i Years after op i I I 2 3 4 5 6 7 79 206 85 60 139 68 41 23 57 13 97 29 49 33 25 l~patients at risk Survival curve. Left main disease - LVfunction 100 o normol LVfunction 90 80 • moderately depressed LVfunction • severely depressed LVfunct ion 70 J 0 • d • Years after op 58 45 108 54 86 48 39 49 38 6 3 4 5 31 32 23 22 20 12--7 9 Patients at risk 17 11 T.
Three-vessel disease was present in 82% of the patients and a main stem lesion in 5%. 25. 8 years 88% of which were males. Three-vessel disease was present in 42% of the patients [5, 6]. 8% (3 patients), with 13 late deaths (21 %). Of the 13 late deaths, 84% (11 patients) were cardiac in origin. The mean follow-up period was 37 months (4-116 months). At follow-up, of 46 remaining long-term survivors, 67% (31/46) were completely asymptomatic (NYHA I) and 26% (12/46) reported improvement in angina (NYHA II), 7% 30 B.
Mem Acad Chir (Paris) 77:642 21. Quaegebeur JM, Rohmer J, Brom AG, Tinkelenberg J (1977) Revival of the Senning Operation in the Treatment of Transposition of the Great Arteries. Thorax 32: 517 - 524 22. Ross DN (1962) Homograft Replacement of the Aortic Valve. Lancet, September 8, 487 23. Ross DN, Somerville J (1966) Correction of Pulmonary Atresia with a Homograft Aortic Valve. Lancet, December 31,1446 24. Senning A (1959) Surgical Correction of Transposition of the Great Vessels. Surg 45:966-980 25.
Coronary Artery Surgery in the Nineties by M. E. M. Macedo (auth.), Universitäts-Professor Dr. med. Felix Unger (eds.)