[Late results of myocardial revascularization surgery in patients with severe impairment of left ventricle dynamics. Apropos of 80 cases surgically treated from 1970 to 1979].
Coronary bypass surgery was performed on forty-eight patients with LVD from 1970 to 1979. Mean age was 53 +/- 9 years. All patients had abnormal motion of all walls on cineangiography and three vessel disease. Mean LVEF was 27.7%. Mean of distal anastomoses was 1.6 per patient with internal mammary artery graft to LAD. Six patients died early postoperatively (7.5%) and there were 31 late deaths. Actuarial survival including early deaths is 71.5 (+/- 6)% 5 years and 49% 10 years postoperatively. LVEF has a significant influence upon late survival (p 0.01). Because of incomplete revascularization, 55% of the 40 surviving patients, have recurrence of angina with a mean follow-up of 103 months. We have subsequently increased the mean number of bypass grafts in these patients.
Jegaden
O
O
Durand de Gevigney
G
G
Montagna
P
P
Rumolo
A
A
Mikaeloff
P
P
D000206:Actuarial Analysis; D000328:Adult; D000368:Aged; D003327:Coronary Disease / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009200:Myocardial Contraction; D009204:Myocardial Revascularization / Q000401:mortality; D013318:Stroke Volume
Résultats tardifs de la chirurgie de revascularisation myocardique chez les patients ayant une altération majeure de la dynamique du ventricule gauche. A propos de quatre-vingt cas opérés de 1970 à 1979.