Reoperation for recurrent coronary artery disease – a ten year experience |
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Authors: | D. A. Horton R. G. Hicks |
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Affiliation: | Cardiovascular Surgeon, Departments of Cardiothoracic Surgery, St George and The Prince Henry Hospitals, Sydney, NSW;Scientific Officer, Department of Clinical Neurophysiology, The Prince Henry Hospital, Sydney, NSW |
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Abstract: | 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. |
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Keywords: | Coronary artery surgery recurrent coronary artery disease repeat coronary surgery. |
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