Posterior Thoracotomy for Reoperative Coronary Artery Bypass Grafting without Cardiopulmonary Bypass: Perioperative Results

Authors

  • Giuseppe D’Ancona Division of Cardiothoracic Surgery and the Center for Minimally Invasive Cardiac Surgery, Kaleida Health—Buffalo General Hospital Site and SUNY at Buffalo, Buffalo, New York
  • Hratch Karamanoukian Division of Cardiothoracic Surgery and the Center for Minimally Invasive Cardiac Surgery, Kaleida Health—Buffalo General Hospital Site and SUNY at Buffalo, Buffalo, New York
  • Thomas Lajos Division of Cardiothoracic Surgery and the Center for Minimally Invasive Cardiac Surgery, Kaleida Health—Buffalo General Hospital Site and SUNY at Buffalo, Buffalo, New York
  • Marco Ricci Division of Cardiothoracic Surgery and the Center for Minimally Invasive Cardiac Surgery, Kaleida Health—Buffalo General Hospital Site and SUNY at Buffalo, Buffalo, New York
  • Jacob Bergsland Division of Cardiothoracic Surgery and the Center for Minimally Invasive Cardiac Surgery, Kaleida Health—Buffalo General Hospital Site and SUNY at Buffalo, Buffalo, New York
  • Tomas Salerno Division of Cardiothoracic Surgery and the Center for Minimally Invasive Cardiac Surgery, Kaleida Health—Buffalo General Hospital Site and SUNY at Buffalo, Buffalo, New York

Abstract

Background: This retrospective study evaluates morbidity and mortality of reoperative coronary artery bypass grafting (CABG) without cardiopulmonary bypass (CPB) using a posterior thoracotomy to revascularize the lateral aspect of the heart.

Methods: From January 1995 to July 1999, reoperative CABG without CPB was performed on 67 selected patients using a left posterior thoracotomy approach. Preoperative risk factors, postoperative mortality, and major complications were derived from the New York State database.

Results: All patients were operated on without CPB. A total of 1.3 grafts per patient were performed. Freedom from major complications was 95.5%. There were no post-operative cerebro-vascular accidents (CVA) or new neuro-logical deficits. Two patients (3%) had a perioperative acute myocardial infarction. The actual mortality rate was 4.5% (3/67), the expected mortality was 5.1% and the calculated risk adjusted mortality was 2.1%.

Conclusions: Reoperative CABG without CPB to revas-cularize selected coronary artery targets can be safely per-formed using a posterior thoracotomy approach.

Published

2000-03-01

How to Cite

D’Ancona, G., Karamanoukian, H., Lajos, T., Ricci, M., Bergsland, J., & Salerno, T. (2000). Posterior Thoracotomy for Reoperative Coronary Artery Bypass Grafting without Cardiopulmonary Bypass: Perioperative Results. The Heart Surgery Forum, 3(1), E18-E23. Retrieved from https://journal.hsforum.com/index.php/HSF/article/view/6389

Issue

Vol. 3 No. 1 (2000)

Section

Article
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