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Article
February 1955

A SIMPLE OPERATION FOR THE TREATMENT OF CHRONIC CORONARY ARTERY DISEASE

Author Affiliations

CHICAGO
From the Edgewater Hospital.

AMA Arch Surg. 1955;70(2):309-317. doi:10.1001/archsurg.1955.01270080155026
Abstract

For the past 4 years we have been doing coronary ligation and cardiopericardiopexy in the dog; and to date we have performed the Thompson operation in 47 patients.

INDICATIONS:  1. Angina on effort and definite evidence of coronary artery disease as confirmed by clinical and laboratory findings.2. Coronary artery disease after recovering from an acute infarction (3 to 6 months).3. Any chronic coronary heart disease showing no improvement following medical management.

CONTRAINDICATIONS:  1. Congestive failure.2. Active myocardial infarct or occlusion.3. Severe liver or kidney damage.

CONTRAINDICATIONS:  1. Age—up to 67 years.2. Positive proof of coronary artery insufficiency.a. If angina—do EKG and positive Masters exercise test.b. If history of infarction, do only EKG. Do not do Masters exercise test, but wait 3 to 6 months for healing before considering surgery.3. EKG readings on three alternating days must

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