Long-Term Survival following Aortocoronary Artery Bypass

Abstract
At the Texas Heart Institute [USA], from Oct. 1969 through Dec. 1974, a consecutive series of 4522 patients who underwent aortocoronary bypass [ACB] procedures was analyzed. The experience with this procedure over a 5-yr period demonstrated a decreasing operative and long-term mortality. This included patients who had ACB alone or in combination with other procedures such as resection of a left ventricular aneurysm or aortic and mitral valve procedures. Actuarial follow-up during the 5 yr revealed mortality to be approximately 2.5%/yr. Current operative mortality is less than 3.5% regardless of the number of grafts implanted. The rate of late myocardial infarction was only 4% for the entire series. ACB can be safely performed with minimal mortality and increased long-term survival.

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