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September 27, 2008European Heart Journal

The clinical outcome after coronary bypass surgery: a 30-year follow-up study

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Key result

Venous coronary artery bypass graft surgery resulted in an overall median life expectancy of 17.6 years, with a 30-year survival rate of 15% and 94% of patients requiring repeat intervention.

Population

1,041 consecutive patients who underwent venous coronary artery bypass graft surgery between 1971 and 1980…

Design

Cohort

Follow-up

Median 29 years (26-36 years)

Authors

RDRon T. van DomburgInterventional Cardiology
A. Pieter Kappetein
A. Pieter KappeteinInterventional / Structural Cardiology
ABAd J.J.C. BogersCardiac Surgery

Discussion

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Implication

Venous CABG appears largely palliative given frequent reintervention; extends long-term observational data but leaves open comparisons with arterial strategies.

Study Design

Type

Cohort (n=1,041)

Multicenter

No

Structured PICO

P
Population
1,041 consecutive patients (mean age 53, 12% female) who underwent venous CABG between 1971 and 1980, followed for a median of 29 years.
E
Exposure
Venous coronary artery bypass graft (CABG) surgery
O
Outcome
Death and repeat coronary revascularization procedures, and life expectancyhard clinical

Venous CABG provides a median life expectancy of 17.6 years, but is ultimately a palliative treatment as the vast majority of patients require repeat revascularization over a 30-year period.

Cite This Study

Domburg et al. (2008) conducted a cohort in Coronary artery disease (n=1,041). Venous coronary artery bypass graft (CABG) surgery was evaluated on 30-year freedom from death and coronary re-intervention. Venous coronary artery bypass graft surgery resulted in an overall median life expectancy of 17.6 years, with a 30-year survival rate of 15% and 94% of patients requiring repeat intervention.

synapsesocial.com/papers/6a93dd347e54902437b94181https://doi.org/10.1093/eurheartj/ehn530
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Mortality and recurrent cardiac events after coronary artery bypass graft: long term outcomes in a population study2002 · 67 citations
  2. 2Mortality and repeat interventions up until 20 years after aorto-coronary bypass surgery with saphenous vein grafts. A follow-up study of 1041 patients2000 · 23 citations
  3. 3Survival at 5 to 10 years after aorto-coronary bypass operations in 1041 consecutive patients1987 · 9 citations
  4. 4Survival in 1041 patients with consecutive aorto-coronary bypass operations1984 · 12 citations
  5. 5Incidence, risk, and outcome of reintervention after aortocoronary bypass surgery.1987 · 50 citations