Kalmár P, Bantea C, Rödiger W, Polonius M J, Rodewald G
Radiologe. 1976 Mar;16(3):119-24.
A brief history of the development of coronary heart surgery is presented. Modern methods include the aorto-coronary bypass using saphenous vein graft or the thoracic internal artery, and the resection of ventricular aneurysm. The own experience with a group of 262 patients revealed a total mortality of 11,4%. Selected indication, improved surgical technique and postoperative care changed coronary surgery during the recent years into a routine method. The operative risk is characterized by the anatomical location of the occlusive artery disease as well as by the left ventricular function. But even in the group with high surgical risk the operative treatment is justified since life expectancy under conservative therapy is limited. In a group with 17 late death the main cause was due to cardiac insufficiency. In the group of survivors approximately 84% of the bypass were patent after an average period of 18 months.
本文介绍了冠心病外科手术发展的简要历史。现代方法包括使用大隐静脉移植物或胸廓内动脉进行主动脉冠状动脉搭桥术，以及心室壁瘤切除术。对一组262例患者的自身经验显示，总死亡率为11.4%。近年来，通过选择合适的适应症、改进手术技术和术后护理，冠心病手术已成为一种常规方法。手术风险取决于闭塞性动脉疾病的解剖位置以及左心室功能。但即使在手术风险高的患者群体中，手术治疗也是合理的，因为保守治疗下的预期寿命有限。在一组17例晚期死亡病例中，主要原因是心功能不全。在存活患者组中，平均18个月后约84%的搭桥血管仍保持通畅。
