RESULTS OF MULTIPLE CORONARY ARTERY BYPASS GRAFTING IN JAPANESE PATIENTS
スポンサーリンク
概要
- 論文の詳細を見る
Multiple coronary artery bypass grafting with more than 4 grafts has been carried out in 64 Japanese patients during a 3.5 year period. There were 55 males and 9 females; ages range from 34 to 75 with a mean of 58.9 year old. Double, triple and left main disease were noted in one (2%), 54 (84%) and 9 (14%) patients, respectively. There was 54 (84%) stable and 10(16%) unstable angina pectoris, and 28 (44%) patients had previous myocardial infarction. The saphenous vein graft was used for all patients with a preferential use of sequential graft (84%). The internal mammary artery graft was used in 55 (86%) patients and the right gastroepiploic artery graft was used in 6 (9%) patients. There were 2 (3.1%) early and 2 (3.1%) late deaths. New Q wave was noted in 2 (3.1%) patients and intraaortic balloon pumping was required in 3 (4.7%) patients. The mean number of grafts was 4.4 ranged from 4 to 7, and the mean aortic cross clamp time and cardiopulmonary bypass time was 74.5 min and 134.3 min, respectively. Graft patency within 6 postoperative months was 86% (120/140) in saphenous veins, 96% (52/54) in internal mammary arteries and 100% (5/5) in gastroepiploic arteries. Relief of angina was noted in 58 (96.7%) of 60 survivors. It was concluded that the increase in the number of coronary artery anastomoses does not increase surgical risk and favorable outcome and acceptable graft patency can be obtained by multiple grafting for patients with severe multivessel coronary artery disease.
- 社団法人日本循環器学会の論文
- 1989-07-20
著者
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Suma Hisayoshi
Department of Cardiovascular Surgery,Hayama Heart Center
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Suma Hisayoshi
Department Of Thoracic Surgery Osaka Medical College
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Fukumoto Hitoshi
Department of Emergency Medicine, Osaka Mishima Emergency and Critical Care Center
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Kimura Hiroshi
Departtnent of Chest Medicine, School of Medicine, Chiba University
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Fukuzaki Hisashi
The First Department Of Internal Medicine Kobe University School Of Medicine
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TAKEUCHI ATSURO
Department of Thoracic Surgery, Osaka Medical College
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Suma Hisayoshi
Department Of Thoracie Srugery Osaka Medical College
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Suma Hisayoshi
Department Of Cardio-thoracic Surgery Juntendo University
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FUKUZAKI Hisashi
三木市民院循環器内科
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Takeuchi Atsuro
2nd Surg. Div. Osaka Med. School
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Fukuzaki Hisashi
Department Of Thoracie Srugery Osaka Medical College
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Fukuzaki Hisashi
Dept Of Intern Med. Div. I Kobe Univ. School Of Med.
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KONDO KEIICHIRO
Department of Thoracie Srugery, Osaka Medical College
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SATO HARUMITSU
Department of Thoracie Srugery, Osaka Medical College
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Takeuchi Atsuro
Dept of Surg. Osaka Med College
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Fukuzaki Hisashi
Dept. Of Int. Med. Div1 Kobe Univ.
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Takeuchi Atsuro
Department Of Thoracic Surgery Osaka Medical College
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Sato Harumitsu
Department Of Thoracic Surgery Osaka Medical College
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Sato Harumitsu
Department Of Cardiovascular Surgery Ehime Prefectural Central Hospital
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Takeuchi Atsuro
Department Of Thoracie Srugery Osaka Medical College
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Kondo Keiichiro
Department Of Thoracic And Cardiovascular Surgery Osaka Medical College
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Kondo Keiichiro
Department Of Thoracie Srugery Osaka Medical College
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Fukuzaki Hisashi
1st Dep. Of Internal Med. Kobe Univ.
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Fukuzaki Hisashi
Department Of Thoracic Surgery Osaka Medical College
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Fukuzaki Hisashi
Internal Medicine Division I Kobe University
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Takechi Atsuro
Dept. Of Surgery Osaka Med. Sch.
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Fukumoto Hitoshi
Department Of Emergency Medicine Osaka Mishima Emergency And Critical Care Center
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Takeuchi Atsuro
2nd Div. Dept. Of Surg. Osaka Med. Coll.
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Takeuchi Atsuro
Dept. Of Surg. Osaka Med. Coll.
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Kimura Hiroshi
Department Of Virology Nagoya University Graduate School Of Medicine
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Kimura Hiroshi
Department Of Anatomy Shiga University Of Medical Science
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Takeuchi Atsuro
Department Of Thoraclc Surgery Osaka Medical College
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Kimura Hiroshi
Department Of Thoracie Srugery Osaka Medical College
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Kimura Hiroshi
Department Of Anatomy Ii Shiga University Of Medical Science
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