Vascular reconstructive surgery following myocardial revascularization.

Survivors of successful coronary bypass have a life expectancy close to normal. Myocardial infarction has been the major cause for morbidity and mortality in patients requiring surgery. Current data suggests that patients who have undergone CAB are not only acceptable risks for subsequent surgery, but may in fact have a lesser cardiac risk than the routine patient. The selection of the proper sequential surgical procedures is critical for patient survival. We reviewed 74 major vascular reconstructive procedures in 53 patients. Twenty-nine cerebrovascular procedures, 20 femoro-popliteal bypasses, aneurysmectomy nine times, and aortic bypass in 16 patients were the procedures performed. Twenty-two abdominal operations were performed with no significant morbidity or mortality. Two patients died during the postoperative period and three have subsequently died. The 48 survivors continue to do well.