McCollum C H, Garcia-Rinaldi R, Graham J M, DeBakey M E
Surgery. 1977 Mar;81(3):302-4.
Of our series of patients undergoing direct myocardial revascularization, we selected 60 patients who had subsequent major surgical and cardiovascular operative procedures. Thirteen of these patients had a second subsequent operative procedure, and four of the original 60 patients had a third subsequent operation. None of the patients died during the subsequent operation and none sustained a myocardial infarction. During the 77 subsequent procedures, there were eight different episodes of cardiac complications: seven patients had supraventricular arrhythmias and one patient had acute pulmonary edema. All patients responded to medical therapy. These results are suggestive that myocardial revascularization should be performed prior to other major indicated operative procedures in patients with documented coronary artery disease.
在我们接受直接心肌血运重建的患者系列中，我们挑选了60例随后接受了大型外科和心血管手术的患者。其中13例患者接受了第二次后续手术，最初60例患者中有4例接受了第三次后续手术。所有患者在后续手术期间均未死亡，也未发生心肌梗死。在77次后续手术中，出现了8次不同的心脏并发症：7例患者发生室上性心律失常，1例患者发生急性肺水肿。所有患者经药物治疗后均有反应。这些结果提示，对于有记录的冠状动脉疾病患者，应在其他主要指示性手术之前进行心肌血运重建。
