Late Outcome of Reoperative Coronary Revascularization on the Beating Heart

Authors

  • Sotiris C. Stamou Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center; Med-Star Research Institute, Washington, DC
  • Albert J. Pfister Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center; Med-Star Research Institute, Washington, DC
  • Mercedes K.C. Dullum Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center; Med-Star Research Institute, Washington, DC
  • Steven W. Boyce Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center; Med-Star Research Institute, Washington, DC
  • Ammar S. Bafi Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center; Med-Star Research Institute, Washington, DC
  • Tracie Lomax Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center; Med-Star Research Institute, Washington, DC
  • Jorge M. Garcia Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center; Med-Star Research Institute, Washington, DC
  • Paul J. Corso Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center; Med-Star Research Institute, Washington, DC

Abstract

Background: Reoperative (redo) coronary artery bypass grafting (CABG) is associated with a higher morbidity and mortality than first-time CABG. An off-cardiopulmonary bypass (off-pump) approach to redo CABG, however, may potentially benefit redo patients. The aim of the present report is to describe the early and long-term clinical outcome of patients who underwent off-pump redo CABG between July 1985 and January 1999 in our institution.

Methods: Redo patients (n = 138) represented 13% of patients who had off-pump CABG during the period of study (n = 1072) . Mean patient age was 63 ± 12 years, and 67% were men. Surgical approaches included median sternotomy (n = 93, 67%), anterior (n = 20, 15%) and lateral (n = 25, 18%) minimally invasive direct coronary artery bypass (MIDCAB).

Results: Operative mortality was 2% (n = 3). Target lesion re-intervention was 6% (n = 9) Actuarial survival at a mean period of follow-up of 2.5 ± 1 year (range: 1 month to 11 years) was 83%. Event-free survival (freedom from death, myocardial infarction, and repeat intervention) was 67%. Overall cardiac-related mortality was 10% (n = 14).

Conclusion: Off-pump redo CABG can be safely performed with a relatively low mortality rate and a low rate of target lesion revascularization.

Published

2001-03-01

How to Cite

Stamou, S. C., Pfister, A. J., Dullum, M. K., Boyce, S. W., Bafi, A. S., Lomax, T., Garcia, J. M., & Corso, P. J. (2001). Late Outcome of Reoperative Coronary Revascularization on the Beating Heart. The Heart Surgery Forum, 4(1), E69-E73. Retrieved from https://journal.hsforum.com/index.php/HSF/article/view/6309

Issue

Vol. 4 No. 1 (2001)

Section

Article
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