| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1997;64:616-622
© 1997 The Society of Thoracic Surgeons
Department of Cardiovascular and Thoracic Surgery, St. Vincent Hospital and Health Care Center, Indianapolis, Indiana
Background. Conventional reoperative (redo) coronary artery bypass grafting (CABG) is associated with significant morbidity. This retrospective study compared perioperative outcomes of conventional single-vessel redo CABG versus redo CABG done by a minimally invasive technique.
Methods. Group A consisted of 23 consecutive patients from September 1995 to July 1996 who underwent single vessel redo CABG of the left anterior descending artery with the left internal mammary artery using a limited anterior thoracotomy without cardiopulmonary bypass; group B consisted of 12 consecutive patients from November 1984 to July 1994 who underwent the same procedure using a median sternotomy with cardiopulmonary bypass. The two groups were similar with regard to age, sex, preoperative ejection fraction, and risk stratification.
Results. Mortality, cerebrovascular accidents, myocardial infarctions, and reoperations for bleeding were not significantly different between the groups. However, the patients in group A had significant reductions in atrial fibrillation, time to extubation, transfusions required, and length of cardiac recovery and hospital stay. With a mean of 12 ± 6 months of follow-up, 87% of the patients in group A (20 of 23) are alive and asymptomatic. Actuarial survival rates for the patients in group B at 1, 2, and 10 years are 83%, 83%, and 72%, respectively.
Conclusions. Minimally invasive single-vessel redo CABG can be performed safely and may reduce the morbidity associated with conventional single-vessel redo CABG.
Related Article
Ann. Thorac. Surg. 1997 64: 622.
This article has been cited by other articles:
|
|
 |
|
  Y. K. Mishra, S. P. Collison, R. Malhotra, V. Kohli, Y. Mehta, and N. Trehan Ten-year experience with single-vessel and multivessel reoperative off-pump coronary artery bypass grafting J. Thorac. Cardiovasc. Surg., March 1, 2008; 135(3): 527 - 532. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. C. Stamou, P. C. Hill, E. Haile, S. Prince, M. J. Mack, and P. J. Corso Clinical outcomes of nonelective coronary revascularization with and without cardiopulmonary bypass J. Thorac. Cardiovasc. Surg., January 1, 2006; 131(1): 28 - 33. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. S. Allen Mid-Term Results After Thoracoscopic Transmyocardial Laser Revascularization Ann. Thorac. Surg., August 1, 2005; 80(2): 553 - 558. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. C. Stamou, K. A. Jablonski, P. C. Hill, A. S. Bafi, S. W. Boyce, and P. J. Corso Coronary Revascularization Without Cardiopulmonary Bypass Versus the Conventional Approach in High-Risk Patients Ann. Thorac. Surg., February 1, 2005; 79(2): 552 - 557. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Di Mauro, A. L. Iaco, M. Contini, G. Teodori, G. Vitolla, M. Pano, G. Di Giammarco, and A. M. Calafiore Reoperative Coronary Artery Bypass Grafting: Analysis of Early and Late Outcomes Ann. Thorac. Surg., January 1, 2005; 79(1): 81 - 87. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. C. Stamou, K. A. Jablonski, J. M. Garcia, S. W. Boyce, A. S. Bafi, and P. J. Corso Operative mortality after conventional versus coronary revascularization without cardiopulmonary bypass Eur. J. Cardiothorac. Surg., September 1, 2004; 26(3): 549 - 553. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. K. Singh, S. K. Mishra, D. Kumar, R. D. Yadave, and S. K. Sinha Multivessel Total Arterial Revascularization via Left Thoracotomy Asian Cardiovasc Thorac Ann, March 1, 2004; 12(1): 30 - 32. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R A Archbold and N P Curzen Off-pump coronary artery bypass graft surgery: the incidence of postoperative atrial fibrillation Heart, October 1, 2003; 89(10): 1134 - 1137. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Calafiore, M. Di Mauro, C. Canosa, S. Cirmeni, A. L. Iaco, M. Contini, and V. Mazzei Myocardial revascularization with and without cardiopulmonary bypass in multivessel disease: impact of strategy on midterm outcome Ann. Thorac. Surg., July 1, 2003; 76(1): 32 - 36. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Czerny, D. Zimpfer, J. Kilo, R. Gottardi, D. Dunkler, E. Wolner, and M. Grimm Coronary reoperations: recurrence of angina and clinical outcome with and without cardiopulmonary bypass Ann. Thorac. Surg., March 1, 2003; 75(3): 847 - 852. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Calafiore, M. Di Mauro, C. Canosa, G. Di Giammarco, A. L. Iaco, and M. Contini Early and late outcome of myocardial revascularization with and without cardiopulmonary bypass in high risk patients (EuroSCORE>=6) Eur. J. Cardiothorac. Surg., March 1, 2003; 23(3): 360 - 367. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. L. Creswell and R. J. Damiano Jr Postoperative atrial fibrillation: An old problem crying for new solutions J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(90030): S20 - 23. [Full Text] [PDF]
|
|
|
|
 |
|
 C. Chen-Scarabelli Beating-Heart Coronary Artery Bypass Graft Surgery: Indications, Advantages, and Limitations Crit. Care Nurse, October 1, 2002; 22(5): 44 - 58. [Full Text] [PDF]
|
|
|
|
 |
|
 S. C. Smith Jr, J. T. Dove, A. K. Jacobs, J. Ward Kennedy, D. Kereiakes, M. J. Kern, R. E. Kuntz, J. J. Popma, H. V. Schaff, D. O. Williams, et al. ACC/AHA guidelines for percutaneous coronary intervention (revision of the 1993 PTCA guidelines): A report of the American College of Cardiology/ American Heart Association Task Force on practice guidelines (Committee to revise the 1993 guidelines for percutaneous transluminal coronary angioplasty) endorsed by the Society for Cardiac Angiography and Interventions J. Am. Coll. Cardiol., June 15, 2001; 37(8): 2239 - 2239. [Full Text] [PDF]
|
|
|
|
|
|
F. M. Azoury, A. M. Gillinov, B. W. Lytle, N. G. Smedira, and J. F. Sabik Off-pump reoperative coronary artery bypass grafting by thoracotomy: patient selection and operative technique Ann. Thorac. Surg., June 1, 2001; 71(6): 1959 - 1963. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Siebert, L. Anisimowicz, R. Lango, J. Rogowski, R. Pawlaczyk, M. Brzezinski, S. Beta, and M. Narkiewicz Atrial fibrillation after coronary artery bypass grafting: does the type of procedure influence the early postoperative incidence? Eur. J. Cardiothorac. Surg., April 1, 2001; 19(4): 455 - 459. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. L. Creswell and R. J. Damiano Jr Postoperative atrial fibrillation: An old problem crying for new solutions J. Thorac. Cardiovasc. Surg., April 1, 2001; 121(4): 638 - 641. [Full Text] [PDF]
|
|
|
|
|
|
S. C. Stamou and P. J. Corso Coronary revascularization without cardiopulmonary bypass in high-risk patients: a route to the future Ann. Thorac. Surg., March 1, 2001; 71(3): 1056 - 1061. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. G. Byrne, L. Aklog, D. H. Adams, L. H. Cohn, and S. F. Aranki Reoperative CABG using left thoracotomy: a tailored strategy Ann. Thorac. Surg., January 1, 2001; 71(1): 196 - 200. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Mehran, G. Dangas, S. C. Stamou, A. J. Pfister, M. K. C. Dullum, M. B. Leon, and P. J. Corso One-Year Clinical Outcome After Minimally Invasive Direct Coronary Artery Bypass Circulation, December 5, 2000; 102(23): 2799 - 2802. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. E. Tamis-Holland, P. Homel, M. Durani, M. Iqbal, A. Sutandar, B. P. Mindich, and J. S. Steinberg Atrial fibrillation after minimally invasive direct coronary artery bypass surgery J. Am. Coll. Cardiol., November 15, 2000; 36(6): 1884 - 1888. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. C. Stamou, A. S. Bafi, S. W. Boyce, A. J. Pfister, M. K.C. Dullum, P. C. Hill, S. Zaki, J. M. Garcia, and P. J. Corso Coronary revascularization of the circumflex Ann. Thorac. Surg., October 1, 2000; 70(4): 1371 - 1377. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Siebert, J. Rogowski, D. Jagielak, L. Anisimowicz, R. Lango, and M. Narkiewicz Atrial fibrillation after coronary artery bypass grafting without cardiopulmonary bypass Eur. J. Cardiothorac. Surg., May 1, 2000; 17(5): 520 - 523. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. C. Stamou, A. J. Pfister, G. Dangas, M. K.C. Dullum, S. W. Boyce, A. S. Bafi, J. M. Garcia, and P. J. Corso Beating heart versus conventional single-vessel reoperative coronary artery bypass Ann. Thorac. Surg., May 1, 2000; 69(5): 1383 - 1387. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ricci, H. L. Karamanoukian, M. R. Jajkowski, G. D'Ancona, J. Bergsland, and T. A. Salerno The innominate artery as an inflow site in coronary reoperations without cardiopulmonary bypass Ann. Thorac. Surg., May 1, 2000; 69(5): 1606 - 1608. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. A. Eagle, R. A. Guyton, R. Davidoff, G. A. Ewy, J. Fonger, T. J. Gardner, J. P. Gott, H. C. Herrmann, R. A. Marlow, W. C. Nugent, et al. ACC/AHA guidelines for coronary artery bypass graft surgery: A report of the American College of Cardiology/ American Heart Association task force on Practice Guidelines (Committee to revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery) J. Am. Coll. Cardiol., October 1, 1999; 34(4): 1262 - 1347. [Full Text] [PDF]
|
|
|
|
|
|
J. Bergsland, S. Hasnain, T. Z. Lajos, and T. A. Salerno Elimination of cardiopulmonary bypass: a prime goal in reoperative coronary artery bypass surgery Eur. J. Cardiothorac. Surg., July 1, 1999; 14(1): 59 - 63. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. M. McLoitghlin JR Complications of Minimally Invasive Cardiac Surgical Procedures Seminars in Cardiothoracic and Vascular Anesthesia, July 1, 1999; 3(2): 136 - 142. [Abstract] [PDF]
|
|
|
|
|
|
J. A. Rousou, R. M. Engelman, J. E. Flack III, and D. W. Deaton A Cost-Effective Retractor and Heart Stabilizer for Minimal-Access Coronary Bypass Ann. Thorac. Surg., May 1, 1998; 65(5): 1479 - 1480. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
