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Successful Saphenous Vein Bypass Grafting

Leland B. Housman, MD; Lawrence I. Bonchek, MD; Albert Starr, MD

JAMA. 1975;232(2):160-161.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

AORTOCORONARY saphenous vein bypass grafting can relieve the symptoms of ischemic heart disease, but it has rarely been reported in very young patients.¹ A 28-year-old man with crescendo angina and no coronary artery disease risk factors recently underwent emergency coronary arteriography and double aortocoronary vein bypass grafting at the University of Oregon Medical School. To our knowledge, this is the youngest such patient reported in the literature. The presence of such advanced disease in so young a patient without the usual risk factors posed important therapeutic and prognostic problems. Although the long-term prognosis for this patient was and is uncertain, excellent immediate therapeutic results seemed readily attainable, and we considered the patient's youth to be a strong indication for aggressive surgical treatment.²

Our criteria for the diagnosis of "unstable" angina have been defined in a recent report³ and include chest pain at rest that persists more than 24 . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of Cardiopulmonary Surgery, University of Oregon Medical School, Portland.

Footnotes
Reprint requests to Division of Cardiopulmonary Surgery, University of Oregon Medical School, 3181 SW Sam Jackson Park Rd, Portland, OR 97201 (Dr. Housman).

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