PT  - JOURNAL ARTICLE
AU  - Zapolanski, Alejandro
AU  - Loop, Floyd D.
AU  - Estafanous, F. George
AU  - Sheldon, William C.
TI  - Myocardial revascularization at The Cleveland Clinic Foundation—1981
DP  - 1983 Mar 20
TA  - Cleveland Clinic Journal of Medicine
PG  - 2--5
VI  - 50
IP  - 1
4099  - http://www.ccjm.org/content/50/1/2.short
4100  - http://www.ccjm.org/content/50/1/2.full
SO  - Cleve Clin J Med1983 Mar 20; 50
AB  - 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%.