HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Kevin D. Accola Joseph M. Craver William S. Weintraub Robert A. Guyton Ellis L. Jones Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Accola, K. D. Articles by Jones, E. L. Search for Related Content PubMed PubMed Citation Articles by Accola, K. D. Articles by Jones, E. L.

Ann Thorac Surg 1991;52:738-744
© 1991 The Society of Thoracic Surgeons

---

Articles

Multiple reoperative coronary artery bypass grafting

Division of Cardio-Thoracic Surgery, Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia USA

^_* Address reprint requests to Dr Craver, 1365 Clifton Road, NE, Atlanta, GA 30322.

Initial reoperative coronary artery bypass grafting is being performed commonly, and an increasing number of patients are being referred for subsequent reoperative coronary artery bypass grafting. From January 1980 through June 1990, 53 patients (52 male, 1 female) underwent a third or fourth coronary artery bypass operation and were retrospectively reviewed. This represented 0.3% ( [equation],102) of the coronary artery bypass procedures done during that time period. The mean age was 59 ± 8 years. The number of grafts placed ranged from one to four with an average of 2.6 per patient. Internal mammary artery grafts were used in 30 patients (57%). The mean left ventricular ejection fraction was 0.52 ± 0.13. Intraaortic balloon pump support was necessary in 10 patients postoperatively. There were no intraoperative deaths, although 4 patients died in the postoperative hospitalization period. Perioperative myocardial infarctions were diagnosed in 6 patients, 13 patients had perioperative dysrhythmias, and 2 patients sustained a stroke. Superficial wound infections occurred in 5 patients. Late follow-up in 49 patients revealed that 2 other patients have since died, and no further myocardial infarctions have been reported in the survivors. Postoperative 3-year survival is 85%, whereas 3-year myocardial infarction-free survival is 70%. Although there is increased risk of operative complications and early death after multiple reoperative coronary artery bypass grafting, both in-hospital and long-term results suggest that it is an appropriate therapeutic strategy.

This article has been cited by other articles:

				L. Noyez, I. M. Touma, S. H. Skotnicki, and R. M.H.J. Brouwer Third-time coronary artery bypass grafting Ann. Thorac. Surg., August 1, 2000; 70(2): 483 - 486. [Abstract] [Full Text] [PDF]

				J. M. Craver, G. T. Hodakowski, Y. Shen, W. S. Weintraub, K. D. Accola, R. A. Guyton, and E. L. Jones Third-Time Coronary Artery Bypass Operations: Surgical Strategy and Results Ann. Thorac. Surg., December 1, 1996; 62(6): 1801 - 1807. [Abstract] [Full Text]

				L. Noyez, T. van der Werf, T. J. Klinkenberg, D. P. B. Janssen, G. L. Kaan, and L. K. Lacquet Experience and early results of second reoperations for coronary artery diseaseShould patent vein grafts be replaced during reoperation? J. Thorac. Cardiovasc. Surg., March 1, 1994; 107(3): 684 - 689. [Abstract] [Full Text]

				W. H. Merrill, C. C. Elkins, J. R. Stewart, W. H. Frist, and H. W. Bender Jr Third-time coronary artery bypass grafting: Midterm results Ann. Thorac. Surg., March 1, 1993; 55(3): 582 - 584. [Abstract] [PDF]