Long-term Results of Emergency Coronary Artery Bypass Grafting.
スポンサーリンク
概要
- 論文の詳細を見る
During a 20-year period, 364 patients underwent coronary artery bypass grafting (CABG) for the treatment of ischemic heart disease. Among these patients, 28 underwent emergency surgery. The reasons for performing emergency CABG were unstable angina in 15 patients, impending myocardial infarction in 12 patients and congestive heart failure in 1 patient. Eleven patients died postoperatively. Eight variables were examined by univariate analysis for their influence on the occurrence of a hospital death. Lack of a history of myocardial infarction, intraaortic balloon pumping (IABP) and acute coronary occlusion were all found to be predictors of hospital death. Seventeen patients were followed up for 12 years. There was no cardiac death and actuarial survival at 12 years was 63%. The 14 survivors are now in NYHA functional class I or II. Although the operative mortality rate is high after emergency CABG, a fair prognosis can be expected if the patients survive surgery.
著者
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Masaki Hisao
Department Of Cardiovascular Surgery Kawasaki Medical School
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ISHIDA ATSUHISA
Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School
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MORITA Ichiro
Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School
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MURAKAMI TAIJI
Department of Surgery,Okayama University medical School
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Tabuchi Atsushi
Department Of Cardiovascular Surgery Kawasaki Medical School
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KIKUGAWA Daiki
Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School
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Inada Hiroshi
Department Of Applied Chemistry Faculty Of Engineering Osaka University
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Fujiwara Takashi
Department Of Electrical And Electronic Systems Engineering Graduate School Of Information Science A
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Fukuhiro Yoshiaki
Department Of Cardiovascular Surgery Akita University School Of Medicine
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TABUCHI Atsushi
Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School
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ENDOH Kouichi
Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School
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Morita Ichiro
Department of General Surgery, Kawasaki Hospital, Kawasaki Medical School
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FUKUHIRO Yoshiaki
Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School
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Fujiwara Takashi
Department of Cardiology, Iwakuni Clinical Center
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FUJIWARA Takashi
Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School
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