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The Journal of Thoracic and Cardiovascular Surgery, Vol 72, 778-783, Copyright © 1976 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
SL Blumlein, AJ Anderson, JJ Barboriak, AA Rimm, J Walker and R Flemma
The relationship between graft patency and the presence of presurgical
prognostic factors was studied in 636 patients who have undergone aorta-
coronary bypass operation. We have found a positive correlation between
vein graft patency and both coronary artery constriction score (p less than
0.01) and diastolic blood pressure (p less than 0.05). In patients studied
up to one year after surgery, high graft patency was associated with both
higher diastolic pressures (p less than 0.03) and higher cholesterol levels
(p less than 0.001). However, high cholesterol levels also were associated
with coronary arterial obstruction. In patients studied more than a year
after operation, high constriction scores before the operation were
associated with improved graft patency (p less than 0.03). Our findings
indicate that short-term prognosis of the grafts is related mainly to
hemodynamic variables.
ARTICLES
Preoperative risk factors and aorta-coronary bypass graft patency
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