Skip to main content
NCBI home page
British Heart Journal logoLink to British Heart Journal
. 1983 Aug;50(2):157–162. doi: 10.1136/hrt.50.2.157

Reoperation after aortocoronary bypass procedure. Results in 53 patients in a group of 1041 with consecutive first operations.

K Laird-Meeter, M J van den Brand, P W Serruys, O C Penn, M M Haalebos, E Bos, P G Hugenholtz
PMCID: PMC481389  PMID: 6603857

Abstract

Of 1041 patients with consecutive aortocoronary bypass operations, 53 (5.1%) underwent reoperation during a mean follow-up time of three and a half years. The operative mortality of first operations was 1.2%, and of reoperations 3.8%. The anatomical reason for reoperation was failure of the bypass graft in 41 (77%) patients, which in 18 was accompanied by progression of disease. Progression alone was seen in seven (13%). When symptoms occurred within six months after the first operation, failure of the bypass graft(s) was nearly always found--in 32 out of 36 instances. Progression in non-bypassed arteries was seen only when symptoms occurred later. Late results in angina pectoris were less favourable in the group undergoing reoperation: 31 (65%) of the 48 operated on twice and 406 (46%) of the 877 patients operated on once still had angina at late follow-up. The same fraction in both groups was improved by operation: 88% versus 89%.

Full text

PDF
157

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allen R. H., Stinson E. B., Oyer P. E., Shumway N. E. Predictive variables in reoperation for coronary artery disease. J Thorac Cardiovasc Surg. 1978 Feb;75(2):186–192. [PubMed] [Google Scholar]
  2. Barboriak J. J., Barboriak D. P., Anderson A. J., Rimm A. A., Tristani F. E., Flemma R. J. Risk factors in patients undergoing a second aorta-coronary bypass procedure. J Thorac Cardiovasc Surg. 1978 Jul;76(1):111–114. [PubMed] [Google Scholar]
  3. Campeau L., Lespérance J., Hermann J., Corbara F., Grondin C. M., Bourassa M. G. Loss of the improvement of angina between 1 and 7 years after aortocoronary bypass surgery: correlations with changes in vein grafts and in coronary arteries. Circulation. 1979 Aug;60(2 Pt 2):1–5. doi: 10.1161/01.cir.60.2.1. [DOI] [PubMed] [Google Scholar]
  4. Culliford A. T., Girdwood R. W., Isom O. W., Krauss K. R., Spencer F. C. Angina following myocardial revascularization. Does time of recurrence predict etiology and influence results of operation? J Thorac Cardiovasc Surg. 1979 Jun;77(6):889–895. [PubMed] [Google Scholar]
  5. Feinstein A. R. T. Duckett Jones Memorial Lecture. The Jones criteria and the challenges of clinimetrics. Circulation. 1982 Jul;66(1):1–5. doi: 10.1161/01.cir.66.1.1. [DOI] [PubMed] [Google Scholar]
  6. Irarrazaval M. J., Cosgrove D. M., Loop F. D., Ennix C. L., Jr, Groves L. K., Taylor P. C. Reoperations for myocardial revascularization. J Thorac Cardiovasc Surg. 1977 Feb;73(2):181–188. [PubMed] [Google Scholar]
  7. Johnson W. D., Hoffman J. F., Jr, Flemma R. J., Tector A. J. Secondary surgical procedure for myocardial revascularization. J Thorac Cardiovasc Surg. 1972 Oct;64(4):523–529. [PubMed] [Google Scholar]
  8. Kobayashi T., Mendez A. M., Zubiate P., Vanstrom N. R., Yokoyama T., Kay J. H. Repeat aortocoronary bypass grafting. Early and late results. Chest. 1978 Apr;73(4):446–449. doi: 10.1378/chest.73.4.446. [DOI] [PubMed] [Google Scholar]
  9. Loop F. D., Cosgrove D. M., Kramer J. R., Lytle B. W., Taylor P. C., Golding L. A., Groves L. K. Late clinical and arteriographic results in 500 coronary artery reoperations. J Thorac Cardiovasc Surg. 1981 May;81(5):675–685. [PubMed] [Google Scholar]
  10. McIntosh H. D., Garcia J. A. The first decade of aortocoronary bypass grafting, 1967-1977. A review. Circulation. 1978 Mar;57(3):405–431. doi: 10.1161/01.cir.57.3.405. [DOI] [PubMed] [Google Scholar]
  11. McNeer J. F., Starmer C. F., Bartel A. G., Behar V. S., Kong Y., Peter R. H., Rosati R. A. The nature of treatment selection in coronary artery disease. Experience with medical and surgical treatment of a chronic disease. Circulation. 1974 Apr;49(4):606–614. doi: 10.1161/01.cir.49.4.606. [DOI] [PubMed] [Google Scholar]
  12. Norwood W. I., Cohn L. H., Collins J. J., Jr Results of reoperation for recurrent angina pectoris. Ann Thorac Surg. 1977 Jan;23:9–13. doi: 10.1016/s0003-4975(10)64060-x. [DOI] [PubMed] [Google Scholar]
  13. Stiles Q. R., Lindesmith G. G., Tucker B. L., Hughes R. K., Meyer B. W. Experience with fifty repeat procedures for myocardial revascularization. J Thorac Cardiovasc Surg. 1976 Dec;72(6):849–853. [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES