ABSTRACT
Coronary artery bypass can be performed at the community hospital level with results comparable to those in major university centers. Four hundred and ninety-seven patients were operated on between 1970 and 1976 with an overall early mortality of 4.4% (2.6% for coronary artery bypass only) and improvement in the quality of life in 88% of patients.
Subject(s)
Coronary Artery Bypass , Hospitals, Community , Adult , Aged , Coronary Artery Bypass/methods , Coronary Artery Bypass/mortality , Coronary Disease/surgery , Female , Humans , Male , Middle Aged , Postoperative Complications/mortality , Quality of Life , United StatesABSTRACT
A 1.7 cm. Björk-Shiley prosthetic valve was successfully inserted into the mitral annulus in a 7-month-old infant weighing 4.5 kilograms. Rapidly progressive pulmonary arteriolar hypertension and heart failure required surgical intervention. Postoperative problems are discussed. This patient's rapid clinical improvement after the operation further indicates that valve replacement is an important therapeutic alternative in carefully selected infants.
