Abstract
For decades, cardiopulmonary bypass (CPB) has been used routinely and safely for patients undergoing conventional redo on-pump coronary artery bypass grafting (redo-CABG) surgery. The efficacy and safety of redo-CABG have been well documented across a large spectrum of surgeons and patient populations with mortality rates approaching those of primary CABGs (Ann Thorac Surg 80:1719–27, 2005). In many respects, redo-CABG remains the gold standard for repeated coronary revascularization. However, the obligatory aortic manipulation, global myocardial ischemia requiring myocardial protection in advanced coronary disease, and systemic inflammatory response associated with CPB are avoided during redo off-pump coronary artery bypass surgery (redo-OPCAB). To avoid the morbidity attributable to CPB, there has been a resurgence of interest in the application of OPCAB techniques to repeat coronary revascularization.
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Myung, R.J., Puskas, J.D. (2012). Off-Pump Coronary Artery Bypass Grafting for Repeat Coronary Revascularization. In: Machiraju, V., Schaff, H., Svensson, L. (eds) Redo Cardiac Surgery in Adults. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1326-4_3
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