[Cardiovascular complications of diabetes].
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Biomedical subjects
Publications and source records attributed to M Oulhaci.
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Of a total of 4 952 patients undergoing surgery between 1975 and 1982 for coronary artery disease, 430 (8.7%) were over 65. Single or multiple coronary by-pass was carried out in all patients, either alone or in combination with other procedures (aortic valve replacement: 16 cases; mitral: 10 cases; mitral aortic: 3 cases; mitral-tricuspid: 1 case; vascular surgery: 8 cases; aneurysm resection + mitral stenosis: 15 cases). Hospital mortality was 6.9%. Clinical improvement (NYHA), despite the short follow-up, was most considerable: only 6% of the patients failed to show improvement. The risks of surgery are therefore acceptable and, given the high improvement rate, operation is to be encouraged in this age group.
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The surgical indication of coronary by-pass surgery in patients with bad ventricular function is difficult. We analysed retrospectively 87 patients operated on between February 1982 and November 1983. We show the benefit of this surgery even in patients without angina pectoris.