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(Chest. 1974;66:614-621.)
© 1974 American College of Chest Physicians

Surgical Management of Prinzmetal's Variant Angina

William H. Gaasch M.D.1; Roberto Lufschanowski M.D.1; Robert D. Leachman M.D., F.C.C.P.1; and James K. Alexander M.D.1

1 Department of Medicine, Baylor College of Medicine, Ben Taub General Hospital, Methodist Hospital, and St. Luke's Episcopal Hospital, Houston

Clinical data, coronary arteriographic findings and results of surgery are analyzed in six patients with Prinzmetal's variant angina who underwent saphenous vein aorta to coronary bypass. Eighteen additional cases from the literature are also surveyed. Postoperatively, only 38 percent (9 of 24) of the entire surgically treated group were free of pain with no evidence of myocardial infarction. There was lack of symptomatic improvement in 29 percent (7 of 24); 21 percent (5 of 24) had symptomatic improvement but myocardial infarction or graft occlusion or both had been documented. Early mortality was 12 percent (3 of 24). In patients with variant angina, surgical results are inferior to those generally obtained in patients with classic angina. In patients with demonstrable coronary artery spasm, bypass surgery has been uniformly unsuccessful.

Submitted on May 29, 1974
Accepted on July 16, 1974




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 Eur. J. Cardiothorac. Surg.Home page
P. K. Mishra
Variations in presentation and various options in management of variant angina.
Eur. J. Cardiothorac. Surg., May 1, 2006; 29(5): 748 - 759.
[Abstract] [Full Text] [PDF]


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