Review of coronary artery surgery in China.
The 30-year history of coronary artery surgery in China has shown rapid development, particularly in the past 10 years. By 1994, approximately 100 coronary bypass grafting procedures were performed nationally, with mortality rates halving between 1992 and 1993. By 1998, more than 1000 operations had been performed, with mortality rates falling to less than 1% at Fu Wai Hospital, Beijing, but with varying results across the country. Figures for 1995 from Fu Wai Hospital show that the use of the left internal mammary artery was favoured in 65% of patients, with the radial artery used in less than 10%. Changes to the presenting patient profiles have been noted across time, with the incidence of hypertension and diabetes increasing and with severe ventricular dysfunction decreasing. Off-pump and minimally invasive coronary artery bypass grafting were introduced to China in 1996 with encouraging early results.
Qingyu
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Department of Cardiovascular Surgery, Fu Wai Heart Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.