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Ralph B. Dilley, MD

Arch Surg. 2006;141:1219.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

It is increasingly clear that PVD is a marker for the diffuse nature of the process and increases the risk of intervention, particularly in coronary artery bypass. The authors have reported on an impressively large series of patients, both with and without PVD, who have undergone coronary artery bypass and demonstrated both increased severity of the preoperative risk factors and the higher chance of an adverse outcome. I believe this report represents the largest single institutional evaluation of the effect of PVD on outcomes of coronary bypass.

Patients with PVD had a higher incidence of diabetes, hypertension, tobacco use, congestive heart failure, left main coronary disease, and aortic disease and a lower ejection fraction, and the presence of these risk factors emphasize the diffuse nature of the arterial pathologic abnormality. These patients also had a tougher time during the operative period with increased mortality, intraoperative complications, . . . [Full Text of this Article]

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