Coronary artery reoperations using arterial conduits: immediate and early results.

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dc.contributor.authorSharma, Sen_US
dc.contributor.authorDaxini, B Ven_US
dc.contributor.authorTrivedi, Aen_US
dc.contributor.authorMukherjee, Ken_US
dc.contributor.authorPinto, Ren_US
dc.contributor.authorBhattacharya, Sen_US
dc.date.accessioned1994-11-01en_US
dc.date.accessioned2009-05-27T04:17:07Z
dc.date.available1994-11-01en_US
dc.date.available2009-05-27T04:17:07Z
dc.date.issued1994-11-01en_US
dc.description.abstractThis study deals with results of coronary artery reoperations in 21 males aged 54.4 +/- 6.6 years. Native vessel coronary disease at first and second operation was nearly the same (2.7 +/- 0.6 vs 2.8 +/- 0.4 vessel, p = NS). Graft attrition and deterioration in left ventricular ejection fraction (55.9 +/- 9.2 initial vs 36 +/- 15 at reoperation, p < 0.001) necessitated reoperation in majority. Recurrence of angina (71%) and left ventricular failure (23.8%) were the clinical indicators for reoperation. Procedure was successful in 20 (95%) and had to be abandoned in 1 due to severe pericardial and sternal adhesions. Arterial grafts were utilised in 90% (18 cases, Group A and B). Total arterial revascularisation (Group A) was done in 9 (45%) using Y graft 6, combination of both mammary arteries 2, and by both mammary and inferior epigastric artery in 1. Group B patients had arterial grafts (bilateral IMA 1, Y graft 1, bilateral IMA + gastroepipolic 1, RIMA 4, and LIMA 2) in addition to a venous graft. Two patients (group C, 10%) had only venous grafts. There was no in hospital mortality or morbidity and at 10 +/- 5.2 months follow up, all are asymptomatic with negative stress test at 3 months followup in 8 cases. We conclude that coronary artery reoperations using arterial conduits can be performed safely with excellent immediate and early results.en_US
dc.description.affiliationBombay Hospital and Medical Research Centre.en_US
dc.identifier.citationSharma S, Daxini BV, Trivedi A, Mukherjee K, Pinto R, Bhattacharya S. Coronary artery reoperations using arterial conduits: immediate and early results. Indian Heart Journal. 1994 Nov-Dec; 46(6): 335-9en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/2724
dc.language.isoengen_US
dc.source.urihttps://indianheartjournal.comen_US
dc.subject.meshAngina Pectoris --epidemiologyen_US
dc.subject.meshCoronary Artery Bypass --methodsen_US
dc.subject.meshCoronary Disease --epidemiologyen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Complications --epidemiologyen_US
dc.subject.meshRecurrenceen_US
dc.subject.meshReoperationen_US
dc.subject.meshTime Factorsen_US
dc.subject.meshVentricular Dysfunction, Left --epidemiologyen_US
dc.titleCoronary artery reoperations using arterial conduits: immediate and early results.en_US
dc.typeJournal Articleen_US
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