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Ann Thorac Surg 1985;40:271-273
© 1985 The Society of Thoracic Surgeons

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Articles

Reoperation after Previous Grafting with the Internal Mammary Artery: Technique and Early Results

From the Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH.

Accepted for publication July 12, 1984.

^* Address reprint requests to Dr. Loop, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44106

Among 1,006 patients undergoing coronary bypass reoperation from 1968 through 1982, 100 had a patent internal mammary artery graft. There were 88 men and 12 women with a mean age of 53.4 years and a mean interval between first and second operations of 56.6 months. Reasons for reoperation were vein graft closure in 26% of the patients, progressive disease in previously ungrafted arteries in 48%, and combined indications in 26%. One operative death occurred. There was no significant difference in morbidity when compared with a reference group of 906 reoperations in patients without IMA grafting. Complete revascularization was achieved in 64% of the patients; the mean number of grafts per patient was 1.6. Seven patients had a perioperative myocardial infarction, and eight mammary artery pedicles were damaged during reoperation.

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