PMID- 2624804
OWN - NLM
STAT- MEDLINE
DCOM- 19900406
LR  - 20190510
IS  - 1010-7940 (Print)
IS  - 1010-7940 (Linking)
VI  - 3
IP  - 4
DP  - 1989
TI  - Internal mammary artery bypass: effect on longevity and recurrent angina pectoris 
      in 2900 patients.
PG  - 321-5; discussion 325-6
AB  - Internal mammary artery bypass (IMA) to the anterior descending coronary artery 
      was performed in 2900 patients from January 1978 to December 1987. The average 
      age of the patients was 64 years. Males accounted for 68% (1972 patients) and 82% 
      (2378 patients) were in New York Heart Association (NYHA) class III. Left 
      ventricular function was impaired in 51%. The average number of additional 
      saphenous vein grafts per patient was 1.8. The operative mortality was 1.6%. 
      Mediastinitis occurred in 29 patients (1%). Reoperation for bleeding was 
      necessary in 32 patients (1.1%). Perioperative myocardial infarction (MI) was 
      seen in 58 patients (2%) and neurological complications occurred in 32 patients 
      (1.1%). Repeat coronary angiography was performed in 703 patients (25%) and 
      demonstrated a patency rate of 96% in IMA grafts and 81% in saphenous vein grafts 
      (SVG). Survival at 9 years was 90% from all causes and 95% when noncardiac deaths 
      were excluded. Recurrence of angina occurred in 522 patients (18%) and 
      reoperation was performed in 15 patients (0.5%). During the same time period, 
      1783 patients underwent coronary artery bypass utilizing a SVG. Survival at 9 
      years was 78% from all causes and 83% when noncardiac deaths were excluded. 
      Recurrent angina was present in 546 patients (39%). These data suggest that a 
      patent-IMA to the anterior descending protects against recurrent angina and death 
      from cardiac causes and should be the conduit of choice.
FAU - Acinapura, A J
AU  - Acinapura AJ
AD  - Department of Cardiac Surgery, St. Vincent's Hospital and Medical Center, New 
      York, NY.
FAU - Rose, D M
AU  - Rose DM
FAU - Cunningham, J N
AU  - Cunningham JN
FAU - Jacobowitz, I J
AU  - Jacobowitz IJ
FAU - Kramer, M D
AU  - Kramer MD
FAU - Zisbrod, Z
AU  - Zisbrod Z
LA  - eng
PT  - Journal Article
PL  - Germany
TA  - Eur J Cardiothorac Surg
JT  - European journal of cardio-thoracic surgery : official journal of the European 
      Association for Cardio-thoracic Surgery
JID - 8804069
SB  - IM
MH  - Angina Pectoris/diagnosis
MH  - Coronary Disease/mortality/*surgery
MH  - Female
MH  - Humans
MH  - Internal Mammary-Coronary Artery Anastomosis
MH  - Life Expectancy
MH  - Male
MH  - Middle Aged
MH  - *Myocardial Revascularization
MH  - Recurrence
MH  - Time Factors
EDAT- 1989/01/01 00:00
MHDA- 1989/01/01 00:01
CRDT- 1989/01/01 00:00
PHST- 1989/01/01 00:00 [pubmed]
PHST- 1989/01/01 00:01 [medline]
PHST- 1989/01/01 00:00 [entrez]
AID - 10.1016/1010-7940(89)90030-4 [doi]
PST - ppublish
SO  - Eur J Cardiothorac Surg. 1989;3(4):321-5; discussion 325-6. doi: 
      10.1016/1010-7940(89)90030-4.