De Gasperis C
G Ital Cardiol. 1979;9(6):557-61.
The paper summarize a personal experience in myocardial revascularization combined with endoarterectomy for diffuse coronary artery disease. From Feb. 1977 to June 1978 at Harefield Hospital 60 patients had 138 grafts. In 32 patients, 42 endoarteriectomies were performed (30% of all grafted vessels); of these 19 (45%) were to LAD; 4 (10%) to CX and 19 (45%) to RC. The overall mortality was of 1 patient. Symptomatic evaluation shows that 26 patients (84%) are asmptomatic and 5 (16%) are improved. Restudy of 24 (32 endoarterectomies) shows a patency rate of 75%.
本文总结了心肌血运重建联合内膜切除术治疗弥漫性冠状动脉疾病的个人经验。1977年2月至1978年6月,在哈雷菲尔德医院,60例患者接受了138次移植手术。32例患者进行了42次内膜切除术(占所有移植血管的30%);其中19次(45%)是针对左前降支;4次(10%)是针对回旋支,19次(45%)是针对右冠状动脉。总死亡率为1例患者。症状评估显示,26例患者(84%)无症状,5例(16%)病情改善。对24例(32次内膜切除术)进行复查,通畅率为75%。