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主动脉冠状动脉搭桥手术:7年随访

Aortocoronary bypass surgery: a 7-year follow-up.

作者信息

Cameron A, Kemp H G, Shimomura S, Santilli E, Green G E, Hutchinson J E, Mekhjian H A

出版信息

Circulation. 1979 Aug;60(2 Pt 2):9-13. doi: 10.1161/01.cir.60.2.9.

Abstract

Follow-up of 748 consecutive patients who underwent aortocoronary artery bypass grafts was obtained for 5 to 94 months (average, 59 months). Operative mortality of 2.5% did not vary with number of vessels bypassed. There was a linear 3.5% annual recurrence rate of angina, and average annual late infarction rate of 1.4%. The cumulative survival rates did not differ for the number of grafts performed or for men and women, but did differ for left main coronary stenosis and impaired ejection fractions. The late cumulative survival rates for the entire group approached those of the general U.S. population.

摘要

对748例连续接受主动脉冠状动脉搭桥术的患者进行了5至94个月(平均59个月)的随访。手术死亡率为2.5%,并不随搭桥血管数量而变化。心绞痛的年复发率呈线性,为3.5%,平均每年晚期梗死率为1.4%。累积生存率在搭桥数量或男女之间并无差异,但在左主干冠状动脉狭窄和射血分数受损方面存在差异。整个组的晚期累积生存率接近美国普通人群的生存率。

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