ArticleKniazev MD, Borovkov AI, Aslibekian IS.
Kardiologiia. 1977 Jun;17(6):31-6.
Remote results of the aorto-coronary shunting operation performed in 102 patients with ischemic heart disease are reported. Of this number 75 suffered from severe angina pectoris at rest, while the others had angina pectoris on effort of some or other degree of intensity. An excellent late result was achieved (over periods from 6 months to 5 years) in 33.3, good--in 49.5, satisfactory--in 10.1% of the cases, with the surgery being of no avail in 5.1 and aggravating the patients' condition in 2.0% of the instances. Excellent and good results were obtained in 83% of the cases, viz. disappearance of angina pectoris, improved ECG at rest and on effort. The excellent and good results did not depend on the initial coronary reserve, the degree of the coronaries lesion and on the adequacy of the operation, whereas all the other results (satisfactory, ineffective, deterioration) were seen, as a rule, with an inadequate aorto-coronary shunting in patients with extensive cicatricial changes of the myocardium. A direct relationship between remote results and the extent of the myocardial lesion was established.