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Reoperative coronary artery bypass grafting using a minimally invasive direct coronary artery bypass procedure

The Japanese Journal of Thoracic and Cardiovascular Surgery volume 49, pages 602–606 (2001)Cite this article

Abstract

Objective: Reoperative coronary artery bypass grafting with cardiopulmonary bypass tends to cause a higher mortality and morbidity than the primary operation. The purpose of this study was to discuss the effectiveness and safety of a minimally invasive coronary artery bypass procedure for patients who had previously undergone coronary artery bypass surgery.Methods: We performed redo single coronary artery bypass grafting to the left anterior descending coronary artery in 9 patients and to the right coronary artery in 3 patients using minimally invasive cardiac surgery. The graft to the left anterior descending coronary artery was taken from the left internal thoracic artery in 5 patients, the right gastroepiploic artery in 3 patients, and from the saphenous vein in the other 1 patient. The graft to the right coronary artery was from the right gastroepiploic artery in all 3 patients.Results: All grafts were patent. There was no major postoperative complication and no surgical or hospital death except one late death.Conclusions: In selected patients, we could safely and completely perform coronary artery bypass re-grafting to the left descending coronary artery or right coronary artery using a minimally invasive operation.

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References

  1. Calafiore AM, Suma H. Radial artery from left subelavian artery in redo coronary artery bypass grafting, Ann Thorac Surg 1996; 62: 901–2.

    PubMed  Article  CAS  Google Scholar 

  2. Wolf RK, Miyaji K, Flege JB Jr. Saphenous vein as an alternative graft in minimally invasive direct coronary artery bypass, J Thorac Cardiovasc Surg 1999; 117: 822.

    PubMed  Article  CAS  Google Scholar 

  3. William SW, Ellis LJ, Douglas CM, Spencer BK III, Robert AG, Joseph MC. Outcome of reoperative coronary bypass surgery versus coronary angioplasty after previous bypass surgery. Circulation 1997; 95: 868–77.

    Google Scholar 

  4. Kaul TK, Fields BL, Riggins LS, Wyatt DA, Jones CR. Reinterventions for recurrent ischemic heart disease following a successful first re-do myocardial revascularization: predictors, indications and results. Cardiovasc Surg 1999; 7: 363–8.

    PubMed  Article  CAS  Google Scholar 

  5. Christenson JT, Schmuziger M, Simonet F. Reoperative coronary artery bypass procedures: risk factors for early mortality and late survival. Eur J Cardiothorac Surg 1997; 11: 129–33.

    PubMed  Article  CAS  Google Scholar 

  6. Kron IL, Cope JT, Baker Jr LD, Spotnitz HM. The risks of reoperative coronary artery bypass in chronic ischemic cardiomyopathy: results of the CABG Patch trial. Circulation 1997; 96 (Suppl II): 21–5.

    Google Scholar 

  7. Ungerleider RM, Mills NL, Wechsler AS. Left thoracotomy for reoperative coronary artery bypass procedures. Ann Thorac Surg. 1985; 40: 13–5.

    Google Scholar 

  8. Gandjbakhch I, Acar C, Cabrol C. Left thoracotomy approach for coronary artery bypass grafting in patients with pericardial adhesions. Ann Thorac Surg. 1989; 48: 871–3.

    PubMed  CAS  Article  Google Scholar 

  9. Uppal R, Wolfe WG, Lowe JE, Smith PK. Right thoracotomy for reoperative right coronary artery bypass procedures. Ann Thorac Surg 1994; 57: 123–5.

    PubMed  CAS  Google Scholar 

  10. Suma H, Kigawa I, Horii T, Tanaka J, Fukuda S, Wanibuchi Y. Coronary artery reoperation through the left thoracotomy with hypothermic circulatory arrest. Ann Thorac Surg 1996; 60: 1063–6.

    Article  Google Scholar 

  11. Calafiore AM, Di Giammarco G, Teodiri G, Bosco G, D’Annunzio E, Barsotti A, et al. Left anterior descending coronary artery grafting via left anterior small thoracotomy without cardiopulmonary bypass. Ann Thorac Surg 1996; 61: 1658–65.

    PubMed  Article  CAS  Google Scholar 

  12. Fanning WJ, Kakos GS, Williams TE. Reoperative coronary artery bypass grafting without cardiopulmonary bypass. Ann Thorac Surg 1993; 55: 486–9.

    PubMed  CAS  Google Scholar 

  13. Miyaji K, Wolf RK, Flege JB. Minimally invasive direct coronary artery bypass for redo patients. Ann Thorac Surg 1999; 67: 1677–81.

    PubMed  Article  CAS  Google Scholar 

  14. Baumgarner FJ, Gheissari A, Panagiotodes GP, Capouya ER, Declusion RJ, Yokoyama T. Off-pump obtuse marginal grafting with local stabilization thoracotomy approach in reoperation. Ann Thorac Surg 1999; 68: 946–8.

    Article  Google Scholar 

  15. Boonstra PW, Grandjean JG, Mariani MA. Reoperative coronary bypass grafting without cardiopulmonary bypass through a small thoractomy. Ann Thorac Surg 1997; 63: 405–7.

    PubMed  Article  CAS  Google Scholar 

  16. Angelini GD, Wilde P, Salerno TA, Bosco G, Calafiore AM. Integrated left small thoracotomy and angioplasty for multivessel coronary artery revascularization. Lancet 1996; 347, 757–8.

    PubMed  Article  CAS  Google Scholar 

  17. Allen KB, Matheny RG, Robinson RJ, Heimansohn DA, Shaar CJ. Minimally invasive versus conventional reoperative coronary artery bypass. Ann Thorac Surg 1997; 64: 616–22.

    PubMed  Article  CAS  Google Scholar 

  18. Bergsland J, Hasnain S, Lajos TZ, Salerno TA. Elimination of cardiopulmonary bypass: prime goal in reoperative coronary artery bypass surgery. Eur J Cardiothorac Surg 1998; 14: 59–63.

    PubMed  Article  CAS  Google Scholar 

  19. Kawata T, Kameda Y, Taniguchi S. Modification of repeated coronary bypass grafting for the left anterior descending artery with a minimally invasive direct coronary artery bypass technique. J Card Surg 1999; 14; 366–9.

    PubMed  Article  CAS  Google Scholar 

  20. Tasdemir O, Vural KM, Karagoz H, Bayazit K. Coronary artery bypass grafting on the beating heart with-out the use of extracorporeal circulation review of 2052 cases. J Thorac Cardiovasc Surg 1998; 146: 68–73.

    Google Scholar 

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Affiliations

  1. Department of Sargery III, Nara Medical University, 840 Shijo-cho, Kashihara, 634-8522, Nara, Japan

    Takashi Ueda MD, Tetsuji Kawata MD, Kazumi Mizuguchi MD, Tsuyoshi Tsuji MD, Nobuoki MD Tabayashi, Takehisa Abe MD, Hiroshi Naito MD, Kunimoto Nezu MD & Shigeki Taniguchi MD

Authors
  1. Takashi Ueda MD
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  2. Tetsuji Kawata MD
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  3. Kazumi Mizuguchi MD
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  4. Tsuyoshi Tsuji MD
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  5. Nobuoki MD Tabayashi
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  6. Takehisa Abe MD
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  7. Hiroshi Naito MD
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  8. Kunimoto Nezu MD
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  9. Shigeki Taniguchi MD
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Ueda, T., Kawata, T., Mizuguchi, K. et al. Reoperative coronary artery bypass grafting using a minimally invasive direct coronary artery bypass procedure. Jpn J Thorac Caridovasc Surg 49, 602–606 (2001). https://doi.org/10.1007/BF02916223

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  • DOI: https://doi.org/10.1007/BF02916223

Key words

  • Minimally invasive direct coronary artery bypass
  • Redo-CABG