FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Volume 303:953-957 October 23, 1980 Number 17 Next

	Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Abstract

To identify the factors associated with operative mortality, we evaluated clinical, angiographic, and surgical variables in 1172 patients with left main coronary-artery stenoses of at least 50 per cent, who underwent coronary-bypass procedures in the Collaborative Study in Coronary Artery Surgery (CASS). The operative mortality was 4.2 per cent overall and was less than 3 per cent in seven of the 15 participating hospitals. Historical variables associated with an increase in operative mortality were age, female sex, and duration and severity of angina. Other variables associated most closely with poor survival were urgency of operation, left coronary-artery dominance, severity of left main coronary-artery stenosis, and impairment of left ventricular contraction. The results of this multicenter study show that aortocoronary bypass surgery in patients with left main coronary-artery disease can be performed with a low mortality and that patients at high risk can often be identified before surgery.

This article has been cited by other articles:

• Brinker, J. (2008). The left main facts: faced, spun, but alas too few.. J Am Coll Cardiol 51: 893-898 [Abstract] [Full Text]  
• Bech, G J W, Droste, H, Pijls, N H J, De Bruyne, B, Bonnier, J J R M, Michels, H R, Peels, K H, Koolen, J J (2001). Value of fractional flow reserve in making decisions about bypass surgery for equivocal left main coronary artery disease. Heart 86: 547-552 [Abstract] [Full Text]  
• Kallikazaros, I., Tsioufis, C., Sideris, S., Stefanadis, C., Toutouzas, P. (1999). Carotid Artery Disease as a Marker for the Presence of Severe Coronary Artery Disease in Patients Evaluated for Chest Pain. Stroke 30: 1002-1007 [Abstract] [Full Text]  
• Hussain, K.M.A., Kogan, A., Estrada, A.Q., Kostandy, G., Foschi, A. (1998). Referral Pattern and Outcome in Men and Women Undergoing Coronary Artery Bypass Surgery: A Critical Review. ANGIOLOGY 49: 243-250 [Abstract]  
• Caracciolo, E. A., Davis, K. B., Sopko, G., Kaiser, G. C., Corley, S. D., Schaff, H., Taylor, H. A., Chaitman, B. R. (1995). Comparison of Surgical and Medical Group Survival in Patients With Left Main Coronary Artery Disease : Long-term CASS Experience. Circulation 91: 2325-2334 [Abstract] [Full Text]