Early results of CABG operation in 110 patients

Coronary artery bypass grafting (CABG) operations were performed in 110 consecutive patients. Most of them had extensive triple-vessel disease or left main coronary artery disease. Internal mammary artery (IMA) was used as a graft in 65 patients. Valvular replacement or valvuloplasty were performed in 8 patients and ventricular aneurysmectomy in 10 patients including post infarction VSD repaired in 1 patient simultaneously. Angina pectoris was relieved in all patients except one died from acute renal failure postoperatively. The IMA could be used safely and efficiently in nearly all patients. Using very fine technique, we suggested good exposure, and hemostasis to handle IMA. The key factor of success in CABG operation was complete revascularization by passing all significant stenosis larger than 1 mm diameter in all coronary artery branches.