Papp L, Kollár A, Rényi-Vámos F, Gyöngy T, Horkay F, Hermes L V, Moravcsik E, Bodor E, Szabolcs Z, Szabó Z
Semmelweis Orvostudományi Egyetem, Er- és Szívsebészeti Klinika, Budapest.
Orv Hetil. 1992 May 24;133(21):1285-91.
In the Cardiovascular Surgical Clinic of the Semmelweis Medical University of Budapest the first coronary artery bypass grafting (CABG) procedure was performed in 1975. Since that time coronary artery surgery has become a routine everyday practice representing more than half of the total workload of adult cardiac surgery. The analysis of 1347 operations performed between 1976-1990 on patients with coronary heart disease showed the followings: the first few years--so called learning curve of CABG operations is characterised by high mortality. With passing time the number of cases performed each year increased rapidly and the surgical technique has improved too. At the same time the operative mortality figures showed decreasing tendency--it was 2.1% for the last 609 cases. All observed parameters showed some progress: in 1990 the average number of grafts per patient was 3.09, internal mammary artery usage 15 percent and the mean aortic cross clamp time per anastomosis 24.5 minutes. Complete myocardial revascularisation is the key point of coronary artery surgery. In order to achieve this target in all operated cases further technical improvement is necessary.
1975年，布达佩斯塞梅尔维斯医科大学心血管外科诊所开展了首例冠状动脉旁路移植术（CABG）。自那时起，冠状动脉手术已成为日常常规操作，占成人心脏手术总工作量的一半以上。对1976年至1990年间对冠心病患者进行的1347例手术分析显示如下情况：最初几年——即所谓的CABG手术学习曲线，其特点是死亡率高。随着时间推移，每年实施的病例数量迅速增加，手术技术也有所改进。与此同时，手术死亡率呈下降趋势——最近609例病例的死亡率为2.1%。所有观察到的参数都有所进步：1990年，每位患者平均移植血管数量为3.09根，乳内动脉使用率为15%，每次吻合平均主动脉阻断时间为24.5分钟。完全心肌血运重建是冠状动脉手术的关键。为了在所有手术病例中实现这一目标，进一步的技术改进是必要的。
