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Coronary Artery Bypass After Recent Myocardial Infarction
Tommy L. Fudge, MD;
O. Brewster Harrington, MD;
V. Glenn Crosby, MD;
Rodney Y. Wolf, MD;
Larry D. Burke, MD;
G. Phillip Schoettle, Jr, MD;
Pat A. Ilabaca, MD
Arch Surg. 1982;117(11):1418-1420.
Abstract
• During a five-year period, 280 patients underwent myocardial revascularization within 60 days of having suffered an acute myocardial infarction. Eighty-six percent of them had angina. Twelve patients had calculated ejection fractions of less than 20%; 79, 21% to 40%; and 105, from 41% to 60%. Ten patients had one graft; 33, two; 74, three; and 163, four or more. Twenty-four patients had concomitant ventricular aneurysm repair. The intra-aortic balloon pump was used in only seven patients. There was one postoperative death secondary to respiratory insufficiency and sepsis, resulting in a hospital mortality of 0.4%. Myocardial revascularization is a safe procedure following recent myocardial infarction, with results comparable to elective revascularization. Our long-term results suggest that revascularization may decrease the incidence of recurrent myocardial infarction.
(Arch Surg 1982;117:1418-1420)
Author Affiliations
From the Thoracic and Cardiovascular Surgery Department, Methodist Hospital, Memphis.
Footnotes
Accepted for publication Aug 2, 1982.
Read before the 30th scientific meeting of the International Cardiovascular Society, Boston, June 18, 1982.
Reprint requests to 1325 Eastmoreland Ave, Suite 205, Memphis, TN 38104 (Dr Fudge).
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