This paper is only available as a PDF. To read, Please Download here.
Abstract
Thirty-five consecutive patients undergoing a third-time coronary revascularisation
between 1982 and 1992 were retrospectively reviewed. These patients represented 6%
(35/579) of coronary reoperations and 0.5% (35/6772) of total coronary bypass operations
in the unit during that period. The indication for operation was recurrent or intractable
angina due to total or partial graft failure. The mean number of grafts per patient
was 2.7 (range, 1 to 5). Arterial grafts, new internal mammary arteries and inferior
epigastric artery were placed in 22 patients (63%). All patients survived the early
postoperative period. One patient (3%) required re-exploration for bleeding, three
(9%) required intra-aortic balloon pump support, and nine (26%) had temporary postoperative
atrial fibrillation. Follow-up data for 10 to 138 months (mean, 31 months) revealed
a 5-year survival of 91%. Of 32 late survivors, 18 patients (57%) were free of angina.
Among 14 patients (44 %) who had recurrent angina, only 1 patient (3%) had Class IV
angina compared with 34% Class IV angina patients preoperatively. Third-time coronary
revascularisation can be performed with good early and late clinical results.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Heart, Lung and CirculationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Trends in selection and results of coronary artery reoperations.Ann Thorac Surg. 1983; 36: 380-388
- Coronary artery bypass grafting for the third time or more. Results of 150 consecutive cases.Circulation. 1988; 78: I-166.70
- The third time coronary artery bypass graft: Is the risk justified?.J Thorac Cardiovasc Surg. 1990; 100: 31-35
- Multiple reoperative coronary artery bypass grafting.Ann Thorac Surg. 1991; 52: 738-744
- Experience with fifty repeat procedures for myocardial revascularization.J Thorac Cardiovasc Surg. 1976; 72: 849-853
- Reoperation for coronary artery disease.Circulation. 1985; 72: V59-V64
- Myocardial revascularization for the third time. Clinical characteristics and follow-up.Chest. 1990; 98: 1099-1101
- Nonparametric estimation from incomplete observations.J Am Stat Assoc. 1958; 53: 457-481
- Thirdtime coronary artery bypass grafting: midterm results.Ann Thorac Surg. 1993; 55: 582-585
- Predictors of reoperation after myocardial revascularization.J Thorac Cardiovasc Surg. 1986; 92: 811-821
- Guideline for safely opening a previous sternotomy.J Thorac Cardiovasc Surg. 1979; 78: 633-638
- Reoperation in patients with patent atheroscleorotic coronary vein grafts.J Thorac Cardiovasc Surg. 1984; 87: 379-385
- Comparison of operative mortality and morbidity for initial and repeat coronary artery bypass grafting: The coronary artery surgery study (CASS) registry experience.Ann Thorac Surg. 1984; 38: 563-570
- Predictive variables in reoperation for coronary artery disease.J Thorac Cardiovasc Surg. 1978; 75: 186-192
- Determinants of 10 year survival after primary myocardial revascularization.Ann Surg. 1985; 202: 480-490
Article info
Identification
Copyright
© 1994 Published by Elsevier Inc.
