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ARTICLE |

Indications for Aortocoronary Bypass Graft Surgery, 1979 FREE

[+] Author Affiliations

Reprint requests to Council on Scientific Affairs, American Medical Association, 535 N Dearborn St, Chicago, IL 60610 (Richard J. Jones, MD).


JAMA. 1979;242(24):2709-2711. doi:10.1001/jama.1979.03300240047028
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THE COUNCIL on Scientific Affairs of the American Medical Association requested a panel of consultants to review the current indications for aortocoronary bypass graft (ACBG) surgery. The consultants considered the place of the operation in coronary artery disease (CAD) but did not consider all of the possible applications of the operation in combinations of CAD with other forms of heart disease. They recognized that the decision to operate in the individual patient rests on his physician's clinical judgment based on intimate knowledge of all of his individual qualities and of the pertinent literature and results of careful laboratory studies, as well as the availability of a surgical team of proved capability in ACBG surgery. Nevertheless, it was deemed advisable to review the present indications for the procedure as of January 1979 and some of the relevant background information.

RELIEF OF ANGINA PECTORIS  It is generally agreed that this operation initially

REFERENCES

Takaro T, Hultgren HN, Lipton MJ, et al:  The VA Cooperative Randomized Study of Surgery for Coronary Occlusive Disease: II. Subgroup with significant left main lesions . Circulation 54( (suppl 3) ):107-117, 1976;.
Murphy ML, Hultgren HN, Detre K, et al:  Treatment of chronic stable angina . N Engl J Med 297:621-627, 1977;.
McIntosh HD, Garcia JA:  The first decade of aortocoronary bypass grafting, 1967-77 . Circulation 57:405-431, 1978;.
Hurst JW, King SB, Logue RB, et al:  Value of coronary bypass surgery . Am J Cardiol 42:308-329, 1978;.
Chalmers TC, Smith H Jr, Ambroz A, et al:  In defense of the VA Randomized Control Trial of Coronary Artery Surgery . Clin Res 26:230, 1978;.
Lawrie GM, Morris GC Jr, Howell JF, et al:  Improved survival beyond five years in 1,144 patients after coronary bypass . Am J Cardiol 42:709-715, 1978;.
Kloster FE, Kremkau SH, Ritzmann LW, et al:  Coronary bypass for stable angina: A prospective randomized study . N Engl J Med 300:149-157, 1979;.

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Takaro T, Hultgren HN, Lipton MJ, et al:  The VA Cooperative Randomized Study of Surgery for Coronary Occlusive Disease: II. Subgroup with significant left main lesions . Circulation 54( (suppl 3) ):107-117, 1976;.
Murphy ML, Hultgren HN, Detre K, et al:  Treatment of chronic stable angina . N Engl J Med 297:621-627, 1977;.
McIntosh HD, Garcia JA:  The first decade of aortocoronary bypass grafting, 1967-77 . Circulation 57:405-431, 1978;.
Hurst JW, King SB, Logue RB, et al:  Value of coronary bypass surgery . Am J Cardiol 42:308-329, 1978;.
Chalmers TC, Smith H Jr, Ambroz A, et al:  In defense of the VA Randomized Control Trial of Coronary Artery Surgery . Clin Res 26:230, 1978;.
Lawrie GM, Morris GC Jr, Howell JF, et al:  Improved survival beyond five years in 1,144 patients after coronary bypass . Am J Cardiol 42:709-715, 1978;.
Kloster FE, Kremkau SH, Ritzmann LW, et al:  Coronary bypass for stable angina: A prospective randomized study . N Engl J Med 300:149-157, 1979;.
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