Barra J A, Mondine P, Braesco J, Rukbi I, Chatellier B, Le Paul Y, Mahlab A
Ann Chir. 1989;43(8):628-31.
In this series of 184 patients (pts), 312 internal mammary arteries were used to graft 430 coronary arteries. Two mammary arteries were used in 104 pts and sequential anastomoses were performed in 118 pts. The operative mortality was 1.6% and the peri-operative myocardial infarction was 4.1%. 9% of patients had post-operative complications: 1% of bilateral phrenic paralysis, 2.1% of post-operative hemorrhage leading to reoperation, 1.6% of sternal infection, 0.5% of true mediastinal infection, 1.6% of sternal dehiscence and 2.7% of reversible psychiatric illness. A 3 month follow-up was available in 160 pts. 95% of patients became angina free, the thallium scan shown a normal uptake of thallium at maximal stress in the myocardial grafted area in 92% of the patients.
在这组184例患者中，共使用312支胸廓内动脉移植430支冠状动脉。104例患者使用了两支胸廓内动脉，118例患者进行了序贯吻合。手术死亡率为1.6%，围手术期心肌梗死发生率为4.1%。9%的患者有术后并发症：双侧膈神经麻痹1%，术后出血导致再次手术2.1%，胸骨感染1.6%，真性纵隔感染0.5%，胸骨裂开1.6%，可逆性精神疾病2.7%。160例患者获得了3个月的随访。95%的患者心绞痛消失，92%的患者心肌移植区域在最大负荷时铊扫描显示铊摄取正常。
