Causes of Death in Aortocoronary Bypass Surgery: Experience with 1,000 Patients
Of the first 1,000 consecutive patients in our unit to receive aortocoronary bypass grafts, 108 have died: 32 at operation, 16 in hospital, and 60 late. Of 343 patients who had a normal ventricle, only 1 (0.29%) died at operation, and 2 of the 8 late deaths were noncardiac in cause. Most operative d...
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| Veröffentlicht in: | The Annals of thoracic surgery 1977-04, Vol.23 (4), p.357-360 |
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| container_title | The Annals of thoracic surgery |
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| creator | Keon, W.J. Bédard, P. Akyurekli, Y. Brais, M. |
| description | Of the first 1,000 consecutive patients in our unit to receive aortocoronary bypass grafts, 108 have died: 32 at operation, 16 in hospital, and 60 late. Of 343 patients who had a normal ventricle, only 1 (0.29%) died at operation, and 2 of the 8 late deaths were noncardiac in cause.
Most operative deaths resulted from low cardiac output, and most later deaths were caused by congestive heart failure. A study of the relation of various clinical and operative factors with mortality found that patients with congestive heart failure who underwent valve replacement and bypass grafting had the worst prognosis (73% mortality) while those undergoing bypass grafting with Class III or IV ventricular function (as we define it) and congestive heart failure were next (49% mortality). |
| doi_str_mv | 10.1016/S0003-4975(10)64141-0 |
| format | Article |
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Most operative deaths resulted from low cardiac output, and most later deaths were caused by congestive heart failure. A study of the relation of various clinical and operative factors with mortality found that patients with congestive heart failure who underwent valve replacement and bypass grafting had the worst prognosis (73% mortality) while those undergoing bypass grafting with Class III or IV ventricular function (as we define it) and congestive heart failure were next (49% mortality).</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(10)64141-0</identifier><identifier>PMID: 300614</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Cardiac Output ; Coronary Artery Bypass - mortality ; Female ; Heart Failure - surgery ; Heart Valve Prosthesis ; Heart Valves - surgery ; Humans ; Male ; Middle Aged ; Retrospective Studies</subject><ispartof>The Annals of thoracic surgery, 1977-04, Vol.23 (4), p.357-360</ispartof><rights>1977 The Society of Thoracic Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-82a7d50683bbaa591a3c4214dddb15194407705125782e5712feabe38d987ccb3</citedby><cites>FETCH-LOGICAL-c441t-82a7d50683bbaa591a3c4214dddb15194407705125782e5712feabe38d987ccb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/300614$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keon, W.J.</creatorcontrib><creatorcontrib>Bédard, P.</creatorcontrib><creatorcontrib>Akyurekli, Y.</creatorcontrib><creatorcontrib>Brais, M.</creatorcontrib><title>Causes of Death in Aortocoronary Bypass Surgery: Experience with 1,000 Patients</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Of the first 1,000 consecutive patients in our unit to receive aortocoronary bypass grafts, 108 have died: 32 at operation, 16 in hospital, and 60 late. Of 343 patients who had a normal ventricle, only 1 (0.29%) died at operation, and 2 of the 8 late deaths were noncardiac in cause.
Most operative deaths resulted from low cardiac output, and most later deaths were caused by congestive heart failure. A study of the relation of various clinical and operative factors with mortality found that patients with congestive heart failure who underwent valve replacement and bypass grafting had the worst prognosis (73% mortality) while those undergoing bypass grafting with Class III or IV ventricular function (as we define it) and congestive heart failure were next (49% mortality).</description><subject>Cardiac Output</subject><subject>Coronary Artery Bypass - mortality</subject><subject>Female</subject><subject>Heart Failure - surgery</subject><subject>Heart Valve Prosthesis</subject><subject>Heart Valves - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1977</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRS3EqxT-ACSvEEgEPImdBxtUSnlIlYpUWFuOM4Ggtg52AvTvcZuKLavRzL13RnMIOQF2CQziqyljLAp4logzYOcxBw4B2yI9ECIM4lBk26T3Z9knB859-Db08h7ZjRiLgffIZKhah46akt6hat5ptaADYxujjTULZZf0dlkr5-i0tW9ol9d09FOjrXChkX5XPgAXfit9Vo2fNe6Q7JRq5vBoU_vk9X70MnwMxpOHp-FgHGjOoQnSUCWFYHEa5blSIgMVaR4CL4oiBwEZ5yxJmIBQJGmIIoGwRJVjlBZZmmidR31y2u2trfls0TVyXjmNs5laoGmdTKOMpQmLvVF0Rm2NcxZLWdtq7h-TwOSKo1xzlCtIq9Gao2Q-d7w50OZzLP5SHTgv33Qy-ie_KrTS6TWUorKoG1mY6p8Dv-QmgCQ</recordid><startdate>197704</startdate><enddate>197704</enddate><creator>Keon, W.J.</creator><creator>Bédard, P.</creator><creator>Akyurekli, Y.</creator><creator>Brais, M.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197704</creationdate><title>Causes of Death in Aortocoronary Bypass Surgery: Experience with 1,000 Patients</title><author>Keon, W.J. ; Bédard, P. ; Akyurekli, Y. ; Brais, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-82a7d50683bbaa591a3c4214dddb15194407705125782e5712feabe38d987ccb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1977</creationdate><topic>Cardiac Output</topic><topic>Coronary Artery Bypass - mortality</topic><topic>Female</topic><topic>Heart Failure - surgery</topic><topic>Heart Valve Prosthesis</topic><topic>Heart Valves - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keon, W.J.</creatorcontrib><creatorcontrib>Bédard, P.</creatorcontrib><creatorcontrib>Akyurekli, Y.</creatorcontrib><creatorcontrib>Brais, M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keon, W.J.</au><au>Bédard, P.</au><au>Akyurekli, Y.</au><au>Brais, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Causes of Death in Aortocoronary Bypass Surgery: Experience with 1,000 Patients</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1977-04</date><risdate>1977</risdate><volume>23</volume><issue>4</issue><spage>357</spage><epage>360</epage><pages>357-360</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Of the first 1,000 consecutive patients in our unit to receive aortocoronary bypass grafts, 108 have died: 32 at operation, 16 in hospital, and 60 late. Of 343 patients who had a normal ventricle, only 1 (0.29%) died at operation, and 2 of the 8 late deaths were noncardiac in cause.
Most operative deaths resulted from low cardiac output, and most later deaths were caused by congestive heart failure. A study of the relation of various clinical and operative factors with mortality found that patients with congestive heart failure who underwent valve replacement and bypass grafting had the worst prognosis (73% mortality) while those undergoing bypass grafting with Class III or IV ventricular function (as we define it) and congestive heart failure were next (49% mortality).</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>300614</pmid><doi>10.1016/S0003-4975(10)64141-0</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Annals of thoracic surgery, 1977-04, Vol.23 (4), p.357-360 |
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| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Cardiac Output Coronary Artery Bypass - mortality Female Heart Failure - surgery Heart Valve Prosthesis Heart Valves - surgery Humans Male Middle Aged Retrospective Studies |
| title | Causes of Death in Aortocoronary Bypass Surgery: Experience with 1,000 Patients |
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