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KMID : 0364019920250111369
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Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 11 p.1369 ~ p.1375
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The Clinical Analysis of 32 Cases of Coronary Artery Bypass Graft
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김학제
이건/황재준/신재승/박형주/최영호/김형묵
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Abstract
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During a 17-month period 32 consecutive patients underwent coronary artery bypass graft. The mean age of these patients was 45.3 years (range 39 to 71 years). There were 18 men and 14 women.
Preoperatively 11 patients had stable angina pectoris and 12 patients of unstable angina pectoris. 28% (9 patients) had of myocardial infarction history. The patterns of disease were single vessel involvement (4 casis), double vessel involvement
(11
cases0, triple vessel involvement (12 caese) and 5 cases of left main coronary artery disease. Thirty-seven percent (12/32) were in New York Heart Association class Ⅳ. Myocardial revascularization was performed under emergency conditions in 3
patients.
We performed 13 case of double anastomosis, 12 case of triple anastomosis and 4 case of 4 anstomosis (mean 2.59 anastomosis per patient). The left internal mammary artery was used in 68.7%. 90% of the patients received two or more grafts.
Complications
occurred in 8 patients (25%). All patients were followed up for a mean of 8.6 months (2 to 17 months). There was no hospital and late death. Postoperatively 87% were in New York Heart Association class Ⅰ or Ⅱ and 96% of the patient were free
from
angina.
Key word: Aortocoronary bypass surgery (CABG)
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KEYWORD
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