Third-time coronary artery bypass grafting.
Ann Thorac Surg
; 70(2): 483-6, 2000 Aug.
Article
en En
| MEDLINE
| ID: mdl-10969667
ABSTRACT
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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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Puente de Arteria Coronaria
/
Enfermedad Coronaria
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Ann Thorac Surg
Año:
2000
Tipo del documento:
Article
País de afiliación:
Países Bajos