Korean J Thorac Cardiovasc Surg.  2000 Jun;33(6):487-493.

Early Result of the Coronary artery Bypass Surgery ( Analysis with the Postoperative Coronary artery Angiography )

• Ryu GM
• Kim SH
• Park SS
• Ryu JO
• Seo PW

Abstract

BACKGROUND: Early patency of the coronary artery bypass grafting is determined mainly by surgical technique and status of coronary artery. We analyzed the early result, focusing on the relationship between postoperative angiographic findings and the patency rate. MATERIAL AND METHOD: During the period of July 1997- August 1999, 86 cases of CABG were performed and the postoperative coronary artery angiography was done in 76 cases on postoperative day 7 to assess the graft patency. RESULT: Overall graft patency was 90.2% on the angiographic finding. Factors influencing the early graft occlusion were the surgeon's experience, small coronary artery size less than 1.5mm in diameter, coronary arteries related to pre-operative myocardial infarction, and local atheroma at the anastomosis site(p<0.001). Operative mortailty was 2.3%. Early recurrence of the symptom was 19.8% during the follow up period.
CONCLUSIONS
We examined the postoperative coronary angiography and found that the surgeon's experience, small coronary artery size less than 1.5mm in diameter, bypass surgery on the coronary arteries related to pre-operative myocardial infarction, and local atheroma at the anastomosis site were the factors for the graft occlusion.

Keyword

Coronary artery bypass; Angiography

MeSH Terms

Angiography*
Coronary Angiography
Coronary Artery Bypass*
Coronary Vessels*
Follow-Up Studies
Myocardial Infarction
Plaque, Atherosclerotic
Recurrence
Transplants