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Abstract
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.
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References
- Carotid artery stenosis, association with surgery for coronary artery disease.Arch. Surg. 1972; 105: 837
- Cerebral arterial insufficiency, one to eleven year results following arterial reconstructive operation.Ann. Surg. 1965; 161: 921
- Complications.in: Schwartz S.I. Principles of surgery. McGraw-Hill, Inc, New York1974: 461-490
Article info
Publication history
Accepted:
April 26,
1976
Identification
Copyright
© 1977 Published by Elsevier Inc.
