Long-term Results and its Managements After Coronary Bypass Surgery
スポンサーリンク
概要
- 論文の詳細を見る
Between 1970 and 1985, 221 patients with coronary artery occlusive disease underwent aorto-coronary bypass (A-C bypass) and other procedures. Among these patients, 187 had A-C bypass alone and A-C bypass in addition to correction of valvular lesions or arterialization of the coronary vein, myocardial puncture by laser. The remaining 34 had surgical corrections for myocardial infarction and its complications. Subjects were 100 patients who underwent A-C bypass alone over 6 months ago and whose follow-up study could be performd. Subsequently, 94% of the patients have met the criteria for grade I of NYHA functional capacity and have returned to normal work at a mean of 4 years and 2 months after surgery. Improved left ventricular function has been maintained postoperatively in the patients with complete revascularization. Improved operative technique, in addition to intraoperative balloon angioplasty and onlay patch grafting, have increased the patency rate (78% in 1 mm, 94% in 2 mm of coronary diameter) of the grafts with postoperative anticoagulant therapy. on the basis of our long-term observations, coronary bypass surgery, particulary in complete revascularization, provides for significant improvement in both the quality and life expectancy of patients with severe coronary heart disease. Treadmill exercise test and magnetic resonance image (MRI) were useful, non-invasive and acceptable examinations in long-term follow up.
- 社団法人日本循環器学会の論文
- 1986-09-20
著者
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Ogawa Kyoichi
Kobe University School Of Medicine Division 11 Hemeji Cardiovascular Center
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Okada Masayoshi
Kobe University School of Medicine, Department of Surgery, Division II
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Kozawa Shuichi
Kobe University School of Medicine, Department of Surgery, Division II
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Nakamura Kazuo
Kobe University School of Medicine, Department of Surgery, Division II
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Okada Masayoshi
Second Department Of Surgery Kobe University School Of Medicine
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Okada Masayoshi
Second Division Department Of Surgery University School Of Medicine
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MATSUDA Shozo
Kobe University School of Medicine, Department of Surgery
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YASUOKA Shunsuke
Kobe University School of Medicine, Department of Surgery
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Okada Masayoshi
Kobe University School Of Medicine Department Of Surgery Division Ii
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Matsuda Shozo
Kobe University School Of Medicine Department Of Surgery
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Kozawa Syuichi
Kobe University School Of Medicine Department Of Surgery Division Ii
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Yasuoka Shunsuke
Kobe University School Of Medicine Department Of Surgery
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Matsuda Shozo
2nd Department Of Surgery Kobe University School Of Medicine
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Nakamura Kazuo
Department Of Surgery Division Ii Kobe University School Of Medicine
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Nakamura Kazuo
Kobe University School Of Medicine Department Of Surgery Division Ii
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Kozawa Shuichi
Dept. Of Surgery Intern. Med. Kobe Univ. School Of Med.
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Ogawa Kyoichi
Kobe Univ. School Of Med. 2nd Dept. Of Surg
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Kozawa Shuichi
Kobe University School Of Medicine Department Of Surgery Division Ii
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