Ann Thorac Surg 2000;70:483-486
© 2000 The Society of Thoracic Surgeons
a Department of Thoracic and Cardiac Surgery, University Hospital Nijmegen, Nijmegen, The Netherlands
Address reprint requests to Dr Noyez, Department of Thoracic and Cardiac Surgery414, University Hospital Nijmegen, PO Box 9101, 6500 HB Nijmegen, The Netherlands
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.
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