OBJECTIVES: Redo coronary artery bypass grafting (CABG) has been gradually increasing in Japan. We prospectively collected redo-CABG data and evaluated these the early and remote results. METHODS: Between 01/01/1994 and 06/30/2002, a total of 71 patients underwent isolated redo-CABG in our hospital group. The interval between operations was 7.8 +/- 6.1 years. Previous surgery was CABG in all patients. Perioperative, early angiographic, and follow-up results were analyzed. RESULTS: The mean number of grafts was 2.9 +/- 1.2. There were 4 incidences of injury to the heart or graft during sternal re-entry or during dissection of the heart. There was 1 hospital death (2.8%) and 19 major complications (26.8%), including 7 patients (9.9%) with postoperative congestive heart failure and 2 (2.8%) with postoperative myocardial infarction. Postoperative angiography was obtained in 47 patients and their overall stenosis free patency rate was 93.9%. Follow-up was completed for all hospital survivors with a mean follow-up of 3.9 +/- 2.2 years. The event-free and survival rates at 5 years were 76.4% and 83.9%, respectively. CONCLUSION: In our limited experience, redo-CABG was performed with acceptable risks and its long-term results were satisfactory.
OBJECTIVES: Redo coronary artery bypass grafting (CABG) has been gradually increasing in Japan. We prospectively collected redo-CABG data and evaluated these the early and remote results. METHODS: Between 01/01/1994 and 06/30/2002, a total of 71 patients underwent isolated redo-CABG in our hospital group. The interval between operations was 7.8 +/- 6.1 years. Previous surgery was CABG in all patients. Perioperative, early angiographic, and follow-up results were analyzed. RESULTS: The mean number of grafts was 2.9 +/- 1.2. There were 4 incidences of injury to the heart or graft during sternal re-entry or during dissection of the heart. There was 1 hospital death (2.8%) and 19 major complications (26.8%), including 7 patients (9.9%) with postoperative congestive heart failure and 2 (2.8%) with postoperative myocardial infarction. Postoperative angiography was obtained in 47 patients and their overall stenosis free patency rate was 93.9%. Follow-up was completed for all hospital survivors with a mean follow-up of 3.9 +/- 2.2 years. The event-free and survival rates at 5 years were 76.4% and 83.9%, respectively. CONCLUSION: In our limited experience, redo-CABG was performed with acceptable risks and its long-term results were satisfactory.
Authors: B W Lytle; F D Loop; P C Taylor; M Goormastic; R W Stewart; R Novoa; P McCarthy; D M Cosgrove Journal: J Thorac Cardiovasc Surg Date: 1993-04 Impact factor: 5.209
Authors: M A Borger; V Rao; R D Weisel; A A Floh; G Cohen; C M Feindel; H E Scully; L L Mickleborough; T M Yau Journal: J Thorac Cardiovasc Surg Date: 2001-01 Impact factor: 5.209
Authors: C Acar; V A Jebara; M Portoghese; B Beyssen; J Y Pagny; P Grare; J C Chachques; J N Fabiani; A Deloche; J L Guermonprez Journal: Ann Thorac Surg Date: 1992-10 Impact factor: 4.330
Authors: D M Cosgrove; F D Loop; B W Lytle; C C Gill; L A Golding; C Gibson; R W Stewart; P C Taylor; M Goormastic Journal: J Thorac Cardiovasc Surg Date: 1986-11 Impact factor: 5.209