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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
3
|
| pubmed:dateCreated |
1992-7-14
|
| pubmed:abstractText |
To study the results of bypass surgery in young adults, 221 patients undergoing myocardial revascularisation aged 40 or less (1979-1989) were reviewed. The study included 200 men and 21 women. Mean age was 36.2 years. Risk factors were essentially cigarette smoking (69.6%) and hyperlipidaemia (52%). One-hundred and eighteen patients (53.4%) had a history of previous myocardial infarction (MI) and 16 were operated on after an episode of preinfarction angina. One-hundred and twenty-nine patients had three-vessel disease, 59 had double-vessel disease and 33 single-vessel disease. Twenty-three had left main stem coronary artery lesions. Four-hundred and forty-six saphenous vein grafts and 79 internal mammary artery grafts were performed, an average of 2.3 grafts per patient. Operative mortality was 2.7% (6 patients). Deaths were caused in 4 cases by MI. Twelve patients (5.5%) had a non fatal perioperative MI. One-hundred and ninety-nine patients were followed up for a mean of 7.4 years (4838 patients-years). Seventeen late deaths occurred. Six were from cardiac causes. Overall survival was 84% at 9 years. Five patients underwent cardiac reoperation at a mean interval of 6.4 years after the primary procedure. Eighty-five% of patients were free of angina and 11.5% were in an improved condition. In conclusion, coronary revascularisation can be performed at a reduced risk in younger patients. Long-term prognosis seems similar to that of the overall group of patients undergoing bypass surgery.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0021-9509
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
33
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
281-4
|
| pubmed:dateRevised |
2009-11-11
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| pubmed:meshHeading |
pubmed-meshheading:1601909-Adult,
pubmed-meshheading:1601909-Coronary Artery Bypass,
pubmed-meshheading:1601909-Coronary Artery Disease,
pubmed-meshheading:1601909-Follow-Up Studies,
pubmed-meshheading:1601909-Humans,
pubmed-meshheading:1601909-Paris,
pubmed-meshheading:1601909-Postoperative Complications,
pubmed-meshheading:1601909-Reoperation,
pubmed-meshheading:1601909-Retrospective Studies,
pubmed-meshheading:1601909-Risk Factors,
pubmed-meshheading:1601909-Sex Factors
|
| pubmed:articleTitle |
Results of coronary artery surgery in young adults.
|
| pubmed:affiliation |
Service de Chirurgie Cardiovasculaire, Hôpital de la Pitié, Paris, France.
|
| pubmed:publicationType |
Journal Article
|