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Reoperation After Coronary Bypass Surgery: Technical Aspects and Long-term Follow-up

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Coronary Artery Surgery in the Nineties

Abstract

Angina pectoris has been reported to recur after initial revascularization at rates of 3.5%–7.2%/year [1, 3, 4, 9, 13, 14, 16, 19]. Fortunately the reported results from repeat coronary artery bypass grafting have been encouraging: mortality ranged from 0% to 12.5% [2, 5, 7, 8, 10, 12, 13, 16, 21] and less than 3% in a few reported series [10, 14]; perioperative myocardial infarction has been reported, depending on definition, in 5%–15% of cases [1, 5, 7–9, 12–14, 16, 19]; at 5 years 30%–55% of patients remained markedly improved [1, 2, 7, 10, 13, 14, 16, 21].

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References

  1. . Allen RH, Stinson EB, Oyer PE, Shumway NE (1978) Prediction variables in reoperation for coronary artery disease. J Thorac Cardiovasc Surg 75: 186–192

    PubMed  CAS  Google Scholar 

  2. . Brooks N, Honey M, Cattell M, Wright JEC, Sturridge HF, Balcon R, Layton C (1979) Reoperation for recurrent angina. Br Heart J 42: 333–338

    Article  PubMed  CAS  Google Scholar 

  3. . Cameron A, Kemp HG Jr, Shimorura S, Santilli E, Green GE, Hutchinson JE III, Mekhjian HA (1979) Aortocoronary bypass surgery, a 7 years follow-up. Circulation 60 [Suppl I] 1: 9–13

    Article  Google Scholar 

  4. . Campeau L, Lesperance J, Hermann J, Corbara F, Grondin CM, Bourassa MG (1979) Loss of improvement of angina between 1 and 7 years after aortocoronary bypass surgery. Correlations with changes in vein grafts and in coronary arteries. Circulation 60 [Suppl I] 1: 1–5

    Article  Google Scholar 

  5. . Culliford AT, Girdwood RW, Isom OW, Krauss KR, Spencer FC (1979) Angina following myocardial revascularization. Does time of recurrence predict etiology and influence results of operation? J Thorac Cardiovasc Surg 77: 889–895

    PubMed  CAS  Google Scholar 

  6. . Dobell ARC, Jain AK (1984) Catastrophic hemorrhage during redo sternotomy. Ann Thorac Surg 37: 273–278

    Article  PubMed  CAS  Google Scholar 

  7. . Gandjbakhch I, Pavie A, Cabrol C, Bachet J, Musat T, Goudot B, Guilmet D (1982) Chirurgie coronarienne itérative, techniques et indications. Ann Chir 36: 607–609

    PubMed  CAS  Google Scholar 

  8. . Krause AH, Scott Page V, Bigelow JC, Okies JE, Duncap SF (1978) Reoperations in symptomatic patient after direct coronary artery revascularization. J Thorac Cardiovasc Surg 75: 499–504

    PubMed  Google Scholar 

  9. . Loop FD, Cosgrove DM, Kramer JR, Lytle BW, Taylor PC, Golding LAR, Groves LK (1981) Late clinical and arteriographic results in 500 coronary artery reoperations. J Thorac Cardiovasc Surg 81: 675–685

    PubMed  CAS  Google Scholar 

  10. . Loop FD, Lytle BW, Gill CC, Golding LAR, Cosgrove DM, Taylor PC (1983) Trends in selection and results of coronary artery reoperations. Ann Thorac Surg 36: 380–388

    Article  PubMed  CAS  Google Scholar 

  11. . Loop FD (1984) Catastrophic hemorrhage during sternal re-entry. Ann Thorac Surg 37: 271

    Article  PubMed  CAS  Google Scholar 

  12. . Qazi A, Garcia JM, Mispiretta LA, Corso PJ (1981) Reoperation for coronary artery disease. Ann Thorac Surg 32: 16–18

    Article  PubMed  CAS  Google Scholar 

  13. . Reul GJ Jr, Cooley DA, Ott DA, Coelho A, Chapa L, Eterovic I (1979) Reoperation for recurrent coronary artery disease, causes, indications, and results in 168 patients. Arch Surg 114: 1269–1275

    Article  PubMed  Google Scholar 

  14. . Schaff HV, Orszulak TA, Gersh BJ, Piehler JH, Puga FJ, Danielson GK, Pluth JR (1983) The morbidity and mortality of reoperation for coronary artery disease and analysis of late results with use of actuarial estimate of event free interval. J Thorac Cardiovasc Surg 85: 508–515

    PubMed  CAS  Google Scholar 

  15. . Urschel HC Jr, Razzuk MA, Gardner M (1976) Coronary artery bypass occlusion secondary to postcardiotomy syndrome. Ann Thorac Surg 22: 528–531

    Article  PubMed  Google Scholar 

  16. . Foster ED, Fischer LD, Kaiser GC, Myers WO (1984) Comparison of operative mortality for initial and repeat coronary artery bypass grafting: the coronary artery surgery study (CASS) registry experience. Ann Thorac Surg 38: 563–570

    Article  PubMed  CAS  Google Scholar 

  17. . Pluth JR (1984) Operative mortality and morbidity for initial and repeat coronary artery bypass grafting. Ann Thorac Surg 38: 552–553

    Article  PubMed  CAS  Google Scholar 

  18. . Mills NL (1983) Trends in selection and results of coronary artery operations. Ann Thorac Surg 36: 373–374

    Article  PubMed  CAS  Google Scholar 

  19. . Jones EL, Douglas JJ, Gruentzig AR, Crauer JM, King SB, Guyton RA, Hatcher CR (1983) Percutaneous saphenous vein angioplasty to avoid reoperative bypass surgery. Ann Thorac Surg 36: 389–395

    Article  PubMed  CAS  Google Scholar 

  20. . Mills NL (1983) Reop. or not. Ann Thorac Surg 36: 375–376

    Article  PubMed  CAS  Google Scholar 

  21. . Shark WM, Kass RM (1981) Repeat myocardial revascularization in coronary disease therapy: consideration of primary bypass failures and success of second graft surgery. Am Heart J 102: 303–306

    Article  Google Scholar 

  22. . Assad-Morell JL, Frye RL, Connolly DC, Gau GT, Pluth JR, Barnhorst DA, Wallace RB, Davis GD, Elveback LR, Danielson GK (1975) Relation of intraoperative or early postoperative transmural myocardial infarction to patency of aortocoronary bypass grafts and to diseased ungrafted coronary arteries. Am J Cardiol 35: 767–773

    Article  PubMed  CAS  Google Scholar 

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© 1987 Springer-Verlag Berlin Heidelberg

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Dion, R.A.E. et al. (1987). Reoperation After Coronary Bypass Surgery: Technical Aspects and Long-term Follow-up. In: Unger, F. (eds) Coronary Artery Surgery in the Nineties. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45622-0_50

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  • DOI: https://doi.org/10.1007/978-3-642-45622-0_50

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-45624-4

  • Online ISBN: 978-3-642-45622-0

  • eBook Packages: Springer Book Archive

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