Læknaneminn - 01.10.1979, Qupperneq 15

Samanteht
Kransæðaaðgerðir hafa smátt og smátt öðlast sinn
sess í meðferð á kransæðasjúkdómi og dauðsföll í
sambandi við þessar aðgerðir hafa stöðugt farið
minnkandi. Þetta má rekja til betri svæfinga en áður
tíðkuðust, betri hjarta- og lungnavéla við aðgerðirn-
ar og aukinnar þekkingar á kransæðasjúkdómi. Nú
á dögum er aðgerðardauði á flestum stöðum, sem
við þessa vinnu fást, minni en 4%. Með því að velja
sjúklinga rétt í kransæðaaðgerðir má ná mun betri
árangri, en með því að nota lyflæknismeðferð ein-
göngu.
(Aðferðir, sem lýst er í máli og myndum, eru frá
Cleveland Clinic).
HEIMILDIR:
1 Bruschke AVG, Proudfil WL, Sones FM: Progress Study
cf 590 Consecutive Nonsurgical Cases of Coronary Di-
sease Followed 5-9 Years. Circulation XLVII: 1154—1163,
1973.
2 Bruschke AVG, Proudrit WL, Sones FM: Clinical Course
of Patients Witli Normal, and Slightly or Moderately Ab-
normal Coronary Ateriograms. A Followup Study on 500
Patients. Circulation XLVII: 936-945, 1973.
3 Cheanvechai C. Carcia JM, Effler DB: Internal Mam-
mary-Coronary Artery Anastomosis. Ann Thorac Surg.
20:VI 709-712, 1975.
4 Cheanvechai C., Joseph R. Hooper, M. D. et al: Emer-
gency Myocardial Revascularization. Surgical clinics of
North America-Vol. 55, No. 5, Oct. 1975.
5 Feola M. Wiener L., Walinsky P., et al: Improved Sur-
vival After Coronary Bypass Surgery in Patients With
Poor Left Ventricular Function: Role of Intraaortic Bal-
loon Counterpulsation. Am J of Cardio 39:1021-1026,
1977.
6 Froelicher VF. Yanowitz FG, Thompson AJ, Lancaster
MC: The Correlation of Coronary Angiography and The
Electrocardiographic Response to Maximal Treadmill
Testing in 76 Asymptomatic Men. Circulation XLVII:
597-604, 1973.
7 Gensini GG: Indications for Cardiac Cathererization,
Angiography, and Coronary Arteriography. Geriatrics 63
-68, July 1975.
8 Griepp RB, Stinson EB, Oyer PE. Copeland JG, Shuni-
way NE: The Superiority of Aortic Cross-Clamping With
Profound Local Hypothermia for Myocardial Protection
During Aorta-Coronary Bypass Grafting. .). Thoracic Car-
diovas Surg. 70: VI, 995-1008. 1975.
9 Grondin CM, Limet R: Sequential anastomoses in cor-
onary artery grafting: technical aspets and early and late
angiographic results: Ann Thorac Surg 23:1, 1977.
10 Hutter AM: Evaluation of the Patient With Coronary Ar-
tery Disease. Questionaire, Harvard Medical School, Mass
Gen Hos, 1977.
11 Kirklin, John W. M.D., Nicolas T. Kouchoukos, M.D.,
Eugene H. Blackstone, M.D., and Albert Oherman, M.D.:
Research Related to Surgical Treatment of Coronary Ar-
tery Disease. Circulation 60, No. 7, 1979.
12 Lapin ES, Murray JA, Bruce RA, Winterschid L: Chan-
ges in Maximal Exercise Performance in the Evaluation
of Saphenous Vein Bypass Surgery. Circulation XLVII,
1164-1173, 1973.
13 Lawrie GM, Morris GC: Factors Influencing Late Sur-
vival After Coronary Bypass Surgery. Ann Surg. 187: VI,
104-676, 1978.
14 Murphy ML, Hultegren HN, Detre K. Thomsen J. Ta-
karo T, et al: Treatment of Cronic Stahle Angina. A Pre-
liminary Report of Survival Data of the Randomized
Veterans Administration Cooperative Study. New Eng-
land .1 of Medicine 297: XII, 621-626, 1977.
15 P'éterson KL. Uther JB, Shabetai R, Braunwald E. As-
sessment of Left Ventricular Reformance in Man. Instan-
taneous Tension-Velocity-Length Relations Obtained.
With the Aid of a Electromagnetic Velocity Catheter in
the Ascending Aorta. Circulation XLVII: 924—935, 1973.
16 Read RC, Murphy ML, Hultgren HN, Takaro T: Sur-
vival of men treated for chronic stable angina pectoris.
A cooperative randomized study. .1. Thorac Cardiovasc
Surg. 75: 1, 1978.
17 George J. Reul, Jr, MD, Denton A. Cooley, MD, Don C.
Wukasch, MD, E. Ross Kyger III, MD, Frand M. Sandi-
ford, MD, Grady L. Hallmann, MD, John C. Norman,
MD: Long-Term Survival Following Coronary Artery By-
pass. Arch. Surg.-Vol. 110, Nov. 1975.
18 Spencer FC, Isom OW, Glassman E, Boyd AD, et al: The
Long-Term Influence of Coronary Bypass Grafts on Myo-
cardial Infarction and Survival. An Surg. 180: IV, 439-
451, 1974.
19 Sones FM: Indications and Value of Coronary Arterio-
graphy. Circulation XLVI: 1155-1159, 1972.
20 Ochsner JL. Superiority of Internal Mammary Artery as
A Coronary Graft. International Symposiunt Coronary
Heart Surgery-A Rehahilitation Measure pg. 20.
21 Ochsner JL, Mills NL: Coronary Artery Surgery. Lean &
Febiger, 1978.
22 Sheldon WC, Rincon G, Pichard AD, Razavi M. Chean-
vecha C Loop FD: Surgical treatment of coronary artery
disease pure graft operations with a study of 741 patients
followed 3-7 years. Prog Cardiovasc Dis 18: 237, 1975.
23 Vismara LA, Miller RR. Price JE, et al: Improved Lon-
gevity Due to Reduction of Sudden Death by Aortocor-
onary Bypass in Coronary Atherosclerosis. Am J Cardio
39 : 919-923, 1977.
25 Webster JS, Moberg C, Rincon G. Natural history of se-
vere proximal coronary artery disease as documented hy
coronary cineangiography. Am J Cardiol 33: 195, 1974.
LÆKNANEMINN
9