ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Luc Noyez
Stefan H. Skotnicki
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Noyez, L.
Right arrow Articles by Brouwer, R. M.H.J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Noyez, L.
Right arrow Articles by Brouwer, R. M.H.J.

Ann Thorac Surg 2000;70:483-486
© 2000 The Society of Thoracic Surgeons

Original articles: cardiovascular

Third-time coronary artery bypass grafting

Luc Noyez, MDa, Issa M. Toumaa, Stefan H. Skotnicki, MDa, René M.H.J. Brouwer, MD, PhDa

a Department of Thoracic and Cardiac Surgery, University Hospital Nijmegen, Nijmegen, The Netherlands

Address reprint requests to Dr Noyez, Department of Thoracic and Cardiac Surgery–414, University Hospital Nijmegen, PO Box 9101, 6500 HB Nijmegen, The Netherlands
e-mail: l.noyez{at}thchir.azn.nl

Background. In this study we analyze the short- and long-term results, and the clinical, functional, and subjective status of patients after a second coronary reoperation (RE-RE-CABG).

Methods. The perioperative data of 33 consecutive patients undergoing RE-RE-CABG (1987 to 1998) were studied. Follow-up information was obtained from our follow-up databank. A cross-sectional follow-up was conducted, with additional functional evaluation by the Duke Activity Status Index (DASI), and patients’ evaluations of their life situation were registered.

Results. Perioperative mortality was 2 of 33 patients (6%). During the follow-up (mean 51.6 months) 5 patients died. The 26 survivors showed a significant decrease in New York Heart Association class from 3.6 ± 0.4 preoperatively versus 2.2 ± 0.6 postoperatively. The mean Duke Activity Status Index score was 29.30 ± 16.34 (range 7.22 to 48.9). In all, 18 of 26 patients (70%) were declared to have benefitted from the RE-RECABG.

Conclusions. The significant improve in New York Heart Association class and good postoperative functional capacity, justified the RE-RE-CABG. However, patients must be informed about the limitations of this procedure.






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
Copyright © 2000 by The Society of Thoracic Surgeons.