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Reoperation for recurrent coronary artery disease – a ten year experience
Author(s) -
Horton D. A.,
Hicks R. G.
Publication year - 1992
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1992.tb02149.x
Subject(s) - medicine , myocardial infarction , artery , coronary artery disease , bypass grafting , surgery , coronary disease , cardiology , coronary heart disease
The need for reoperation caused by recurrence of coronary artery disease is becoming increasingly common. Although reoperation is more difficult and time‐consuming, with careful surgical technique it can be carried out with the same mortality as that described by many units for primary coronary artery bypass grafting (1.2 – 2.0%). In the 172 patients described here, who had coronary artery reoperations between 1981 and 1990, there were two in‐hospital deaths (1.2%). There were three postoperative bleeds which required return to theatre. No patient suffered a postoperative neurological deficit or postoperative myocardial infarction. These reoperations comprised 6.9% of the 2497 coronary artery operations carried out in the same period. Follow‐up disclosed eight late deaths, from five‐62 months after operation; all survivors claim to be symptomatically improved. Consideration should be given to the potential problems of reoperation when carrying out primary myocardial revascularisation.