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Original Contribution

Myocardial revascularization at The Cleveland Clinic Foundation—1981

Alejandro Zapolanski, M.D., Floyd D. Loop, M.D., F. George Estafanous, M.D. and William C. Sheldon, M.D.
Cleveland Clinic Journal of Medicine March 1983, 50 (1) 2-5;
Alejandro Zapolanski
1Department of Thoracic and Cardiovascular Surgery.
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Floyd D. Loop
1Department of Thoracic and Cardiovascular Surgery.
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F. George Estafanous
2Department of Cardiothoracic Anesthesiology.
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William C. Sheldon
3Department of Cardiology.
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ABSTRACT

The 1981 surgical experience in 2616 consecutive isolated bypass patients is reviewed. Median age of these patients continues to rise, reaching 59 years in 1981 (23% were >65 years and 8% >70 years); 15% were women. Multivessel coronary atherosclerosis occurred in 92% (two-vessel disease in 24% and three-vessel disease in 69%). Left main artery lesions have plateaued at 12% of surgical patients. Abnormal left ventricular contraction was documented in 55%. Operative (hospital) mortality was 0.8%. Major morbidity included perioperative myocardial infarction (principally new Q-waves) in 1.4% and neurologic deficit in 1.7%. Intra-aortic balloon pump usage was 0.9% and 0.8 unit of blood was used per patient; prevalence of internal mammary artery graft usage was 49%; and complete revascularization was achieved in 82%.

Index terms
  • Coronary vessels
  • surgery
  • Received September 1982.
  • Accepted December 1982.
  • Copyright © 1983 The Cleveland Clinic Foundation. All Rights Reserved.

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In this issue

Cleveland Clinic Journal of Medicine: 50 (1)
Cleveland Clinic Journal of Medicine
Vol. 50, Issue 1
20 Mar 1983
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Myocardial revascularization at The Cleveland Clinic Foundation—1981
Alejandro Zapolanski, Floyd D. Loop, F. George Estafanous, William C. Sheldon
Cleveland Clinic Journal of Medicine Mar 1983, 50 (1) 2-5;

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Myocardial revascularization at The Cleveland Clinic Foundation—1981
Alejandro Zapolanski, Floyd D. Loop, F. George Estafanous, William C. Sheldon
Cleveland Clinic Journal of Medicine Mar 1983, 50 (1) 2-5;
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Keywords

  • Coronary vessels
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