PMID: 305331Apr 1, 1978

Repeat aortocoronary bypass grafting. Early and late results

Chest
T KobayashiJ H Kay

Abstract

Seventy-nine patients underwent repeat myocardial revascularization between March 1971 and January 1977. The initial procedure was performed at the St. Vincent Medical Center, Los Angeles, in 70 (2.0 percent) of 3,526 patients undergoing surgery for coronary arterial disease and in nine more patients was performed at other hospitals; the second operation followed the first procedure at an interval of from three weeks to 78 months. Five deaths (6 percent) occurred while patients were hospitalized, and six deaths (8 percent) occurred later. Two of the six later deaths were from noncardiac causes. Complications were not different from those that occurred during primary procedures. Thirty-six (60 percent) of 60 patients undergoing repeat surgery since 1973 did not receive any transfusions of blood during or after surgery. Of 48 patients followed-up for periods ranging from 12 to 70 months after the second operation, angina was completely relieved in 18 patients (38 percent), improved in 16 patients (33 percent), unchanged in 11 patients (23 percent), and worse in three patients (6 percent).

References

Nov 1, 1978·World Journal of Surgery·F D LoopD M Cosgrove
Mar 1, 1984·Canadian Anaesthetists' Society Journal·C BrummettL R Smith
Aug 1, 1986·Journal of the American College of Cardiology·G A LamasL Goldman
Mar 1, 1985·British Heart Journal·J PidgeonJ E Wright
Aug 25, 2004·The American Journal of Cardiology·David M SafleyJohn A Spertus
Jun 1, 1981·American Journal of Surgery·Q R Stiles, J M Cunningham

Citations

May 1, 1976·The American Journal of Cardiology·F D LoopM J Irarrazaval
Jan 1, 1977·The Annals of Thoracic Surgery·W I NorwoodJ J Collins
Sep 1, 1972·The Annals of Thoracic Surgery·M AdamB F Mitchel
Jul 1, 1973·Archives of Surgery·J R SkowD G Mulder

Related Concepts

Coronary Artery Disease
Myocardium
Angina Pectoris
Coronary Artery Bypass Surgery
Heart
Arteriopathic Disease
Postoperative Complications
Transplanted Tissue
Internal Mammary Artery Implantation

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