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Gerald F. Geisler
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Ann Thorac Surg 1977;24:246-251
© 1977 The Society of Thoracic Surgeons

Articles

Treatment of Severe Coronary Artery Disease with 5, 6, and 7 Saphenous Vein Bypasses: Review of 131 Consecutive Patients

Gerald F. Geisler, M.D.*, Maurice Adam, M.D., Ben F. Mitchel, M.D., Cary J. Lambert, M.D., J. Peter Thiele, M.D.

From the Departments of Thoracic and Cardiovascular Surgery, St. Paul Hospital and Baylor University Medical Center, Dallas, TX

* Address reprint requests to Dr. Geisler, 3434 Swiss Ave, Suite 404, Dallas, TX 75204

One hundred thirty-one consecutive patients who received 5, 6, and 7 bypass grafts are analyzed. Ages ranged from 31 to 74 years. The male-to-female ratio was 7:1. As an indication of severity of disease, 25% were classified as having impending myocardial infarction and 46.6% were classified in New York Heart Association Functional Class IV. Left ventricular function was impaired in 37.4%, and 30% of the patients had left main coronary obstruction. Nonfatal perioperative myocardial infarction occurred in 4.6%. The hospital mortality was 3%.

One hundred percent follow-up (5 to 55 months) revealed 4 late deaths, 3 presumably of cardiac origin. Only 7 patients in the postoperative follow-up group have complained of angina; 1 has since undergone successful reoperation.






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Copyright © 1977 by The Society of Thoracic Surgeons.