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      Current Status of Aorto-Coronary Bypass Graft Surgery

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          Abstract

          The value of saphenous vein bypass surgery in the treatment of coronary artery disease will eventually be assessed through prospective randomized studies of homogeneous groups of patients undergoing either medical or surgical treatment. At present, there is insufficient evidence to demonstrate the beneficial effects of coronary bypass operations on prevention of myocardial infarction and prolongation of life. The improvement in the quality of life may be rewarding in patients with crippling angina pectoris in whom there is a major obstruction of the proximal coronary artery with good distal runoff and adequate ventricular function. This review summarizes our knowledge of the natural history of angina pectoris and examines the indications for a surgical approach in chronic, stable angina pectoris, in unstable angina, variant angina, main left coronary artery disease and acute myocardial infarction. Criteria for patient selection are tentatively defined.

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          Author and article information

          Journal
          CRD
          Cardiology
          10.1159/issn.0008-6312
          Cardiology
          S. Karger AG
          0008-6312
          1421-9751
          1974
          1974
          29 October 2008
          : 59
          : 5
          : 277-303
          Affiliations
          Division of Cardiology, Hahnemann Medical College and Hospital, Philadelphia, Pa.
          Article
          169679 Cardiology 1974;59:277–303
          10.1159/000169679
          4618160
          © 1974 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          Page count
          Pages: 27
          Categories
          Paper

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