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ANALYSIS OF 312 CASES OF REPEAT CORONARY ARTERY BYPASS GRAFTING
作者姓名:陈长志  陆佩中
作者单位:Department of Cardiothoracic Surgery,Renji Hospital,SSMU,Shanghai 200001,China,Department of Cardiovascular Surgery,Hartford Hospital,Hartford,CT 06106,USA
摘    要:R啨sum啨   Objectif  valuerler啨sultatdes pontagescoronariensr啨p啨t啨schez 312 patients.M啨thodes Lesdonn啨esde 312malades ( gemoyen :6 5± 9ans)ayantsubidespontagescoronariensr啨p啨t啨s劋l ho^pitalHartford ,o

关 键 词:冠状动脉旁路移植  再次手术  手术方法  临床疗效

ANALYSIS OF 312 CASES OF REPEAT CORONARY ARTERY BYPASS GRAFTING
CHEN Chang-zhi.ANALYSIS OF 312 CASES OF REPEAT CORONARY ARTERY BYPASS GRAFTING[J].Journal of Shanghai Second Medical University(Foreign Language Edition),2003,15(2):136-140.
Authors:CHEN Chang-zhi
Institution:CHEN Chang-zhiDepartment of Cardiothoracic Surgery,Renji Hospital,SSMU,Shanghai 200001,China Henry BC LowDepartment of Cardiovascular Surgery,Hartford Hospital,Hartford,CT 06106,USA
Abstract:Objective To evaluate repeat coronary artery bypass grafting (CABG) in 312 patients.Methods The data of 312 patients (average age 65±9 years) who had CABG operation in Hartford hospital were collected and analyzed. The mean duration follow up after the first CABG was 11.8±4.5 years. A total of 1069 bypass grafts were performed. Among them, 386 were arterial grafts such as internal mammary artery, radial artery and gastroepiploic artery; 682 were venous grafts and 1 Gore-Tex graft. Results The operative mortality was 4. 5%. Fifteen patients (4. 8%) had peri-operative myocardial infarction and 46 patients (15%) had low cardiac output syndrome. Intra-aortic balloon pump (IABP) was used in 131 patients before, during and after operation. One hundred and nineteen patients weaned off IABP and recovered. ConclusionAlthough the difficulties and risk factors were increased, the results of redo CABG were still good.
Keywords:coronary artery bypass grafting    re-operation    total re-vascularization    arterial graft
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