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Article
November 5, 1982

Coronary Bypass Surgery

JAMA. 1982;248(17):2115. doi:10.1001/jama.1982.03330170023017

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Abstract

To the Editor.—  I am prompted to comment on the answers to the letter submitted by "MD, Michigan" concerning potential coronary surgery for the 55-year-old man with a 95% lesion in his left anterior descending (LAD) coronary artery (1982;247: 2828).I believe that there are some pitfalls in the generalization contained in the response from the internist, Dr Jones, and would rather strongly support the views expressed by the cardiac surgeon, Dr Lawrie.As a generalization, one would not dispute the statement that an isolated lesion in a single vessel does not usually merit coronary bypass surgery. However, I would feel differently about a 95% lesion in the middle third of the right coronary artery as compared with such a lesion in the LAD coronary artery, particularly if it were proximal to or just distal to the first perforator, as stated by Dr Lawrie. Mortality statistics in this situation do

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