Long-Term Results with Aorta-to-Coronary Artery Bypass Vein Grafts

• Published in: The Annals of thoracic surgery Vol. 14; no. 1; pp. 1 - 9
• Main Authors: Adam, Maurice, Mitchel, Ben F., Lambert, Cary J., Geisler, Gerald F.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.07.1972
• Subjects: Coronary Artery Bypass - mortality; Coronary Disease - mortality; Coronary Disease - physiopathology; Coronary Disease - surgery; Coronary Vessels - surgery; Follow-Up Studies; Heart Ventricles - physiopathology; Humans; Postoperative Complications - mortality
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/S0003-4975(10)65190-9

From our experience with more than 500 patients treated with aorta-to-coronary artery bypass vein grafts, follow-up of the first 350 patients for a period of from 6 to 43 months is analyzed. The group had 82% good results, 4% failures, 10% operative deaths, 3% late deaths, and 1% late deaths not related to the graft. Preoperative and operative factors are correlated with early and late results. The number of late deaths has not increased with the passage of time, although a distinct, moderate degradation in the quality of results in the living patients is seen. The presence of prior infarction, significant functional myocardial impairment, or extensive involvement of the coronary arterial tree tends to diminish the quality of results in survivors and to be associated with both degradation of the quality of results with the passage of time and the occurrence of late deaths.