PMID: 9423059Feb 1, 1990Paper

Repeat coronary artery bypass grafting

Rinshō Kyōbu Geka = Japanese Annals of Thoracic Surgery
T Miyamoto, S Enomoto

Abstract

Repeat coronary bypass grafting was performed in 19 patients. The mean age was 59.8 +/- 6.9 years, 26% being female. One or more coronary risk factors were observed in 10 to 37% and none in 37%. The mean interval from the initial procedure was 35.6 +/- 34.4 months, but 42% of patients were reoperated within one year. Eleven patients had unstable angina two requiring emergency surgery to achieve hemodynamic stabilization. A mean of 2.63 grafts/patient achieved 87.7% revascularization. Two patients died late postoperatively from surgical complications. Sixteen patients consented to have postoperative coronary angiography: IMA was used as conduit in one third of the grafts and had a patency of 100% (15/15), compared to 86.7% of the venous grafts (26/30), for an overall patency of 91%. Follow up for 1 to 65 months (28.2 +/- 20.1 months) showed that 75% (12/16) are asymptomatic, and 4 patients (25%) have mild angina (NYHA II). Three of these 4 patients with recurrent angina have evidence of incomplete revascularization. Thus, repeat coronary bypass operation can be offered with acceptably low risk, and the long term benefits are similar to those obtained with primary operation providing complete revascularization is achieved, prefer...Continue Reading

References

Jan 1, 1990·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·T JanardhanJ L Monro
Jan 1, 1989·Scandinavian Journal of Thoracic and Cardiovascular Surgery·A HenzeS O Nyström
Sep 1, 1987·Journal of Cardiac Surgery·D M Cosgrove
Jan 1, 1988·Scandinavian Journal of Thoracic and Cardiovascular Surgery·T S IvertR Welti
Jul 1, 1988·The Australian and New Zealand Journal of Surgery·S OsakaR M Whitlock

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Citations

Jan 13, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·K MiyaharaM Murase
Sep 2, 2000·The Annals of Thoracic Surgery·L NoyezR M Brouwer
Sep 29, 2011·The Annals of Thoracic Surgery·Henry S ParkAnthony W Kim
Nov 1, 1992·The American Journal of Cardiology·L NoyezL K Lacquet

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