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Article
October 20, 1956

FOLLOW-UP REPORT ON RESECTION OF THE ANGINAL PATHWAY IN THIRTY-THREE PATIENTS

JAMA. 1956;162(8):709-712. doi:10.1001/jama.1956.02970250009003
Abstract

• The results of surgical treatment were studied in 33 patients who had angina with or without hypertension. The cases were severe and included four with angina decubitus and one with status anginosus preoperatively. The operations, designed to interrupt the nervous pathways transmitting the pain, consisted of unilateral or bilateral sympathectomies at various levels from the third lumbar to the inferior cervical ganglion. There were three operative deaths; six additional deaths occurred during the ensuing 16 to 84 months of observation. The tabulated details of these cases show a wide variety of responses, some dramatic, some definite but temporary. Occasionally the unilateral operation gave relief; in one patient, the unilateral operation did not give relief but the subsequent contralateral resection did. Of the 30 patients who survived the operation, 18 had complete relief from anginal pain for one to 11 years.

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