Ten-year experiencewith single-vessel and multivessel reoperative off-pump coronary artery bypass grafting

Results: Two hundred ninety-six (89.2%) male and 36 female patients underwent reoperative off-pump coronary artery bypass. Of these, 265 (79.8%) patients underwent multivessel bypass through a median sternotomy, an anterolateral thoracotomy was performed in 63 (19%) patients, and a posterolateral thoracotomy was performed in 4 (1.2%) patients. The early mortality for patients undergoing off-pump surgery was lower than for those undergoing conventional reoperations (3.3% vs 5.5%, P 5 .066). Those who had undergone off-pump reoperations had less need for prolonged ventilation or prolonged inotropic support and had shorter intensive care unit and hospital stays than patients who had undergone redo coronary artery bypass grafting.

[1]  A. Jodati,et al.  Reoperative Coronary Artery Bypass Grafting:Analysis of Early And Late Outcomes - , 2008 .

[2]  T. Vassiliades,et al.  Outcomes after Off-Pump Reoperative Coronary Artery Bypass Grafting , 2007, Innovations.

[3]  A. Zangrillo,et al.  Redo coronary artery bypass grafting on the beating heart and transfusion needs. , 2006, Minerva Anestesiologica.

[4]  N. Trehan,et al.  Propensity case-matched analysis of off-pump versus on-pump coronary artery bypass grafting in patients with atheromatous aorta. , 2006, The Annals of thoracic surgery.

[5]  U. Kappert,et al.  Coronary reoperation with and without cardiopulmonary bypass , 2006, Clinical Research in Cardiology.

[6]  Zhang Er-yong.  Off-Pump Coronary Artery Bypass Grafting , 2006 .

[7]  M. Caputo,et al.  Incomplete revascularization during OPCAB surgery is associated with reduced mid-term event-free survival. , 2005, The Annals of thoracic surgery.

[8]  B. Lytle,et al.  Is reoperation still a risk factor in coronary artery bypass surgery? , 2005, The Annals of thoracic surgery.

[9]  D. Bainbridge,et al.  Does Off-pump Coronary Artery Bypass Reduce Mortality, Morbidity, and Resource Utilization When Compared with Conventional Coronary Artery Bypass? A Meta-analysis of Randomized Trials , 2005, Anesthesiology.

[10]  R. Shemin,et al.  Off‐Pump Versus On‐Pump Reoperative CABG Via a Left Thoracotomy for Circumflex Coronary Artery Revascularization , 2004, Journal of cardiac surgery.

[11]  L. Noyez,et al.  Long-term cardiac survival after reoperative coronary artery bypass grafting. , 2004, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[12]  M. Czerny,et al.  Coronary reoperations: recurrence of angina and clinical outcome with and without cardiopulmonary bypass. , 2003, Annals of Thoracic Surgery.

[13]  Y. Mehta,et al.  Multivessel off-pump coronary artery bypass: analysis of 4953 cases. , 2003, The heart surgery forum.

[14]  F. Verheugt,et al.  Changing profile of patients undergoing redo-coronary artery surgery. , 2002, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[15]  M. Mack,et al.  Beating heart surgery reduces mortality in the reoperative bypass patient. , 2002, Heart Surgery Forum.

[16]  N. Smedira,et al.  Off-pump reoperative coronary artery bypass grafting by thoracotomy: patient selection and operative technique. , 2001, The Annals of thoracic surgery.

[17]  M. Borger,et al.  The changing pattern of reoperative coronary surgery: trends in 1230 consecutive reoperations. , 2000, The Journal of thoracic and cardiovascular surgery.

[18]  G. Dangas,et al.  Beating heart versus conventional single-vessel reoperative coronary artery bypass. , 2000, The Annals of thoracic surgery.

[19]  K. Allen,et al.  Minimally invasive versus conventional reoperative coronary artery bypass. , 1997, The Annals of thoracic surgery.

[20]  E. Jones,et al.  Third-time coronary artery bypass operations: surgical strategy and results. , 1996, The Annals of thoracic surgery.

[21]  A. Barsotti,et al.  Left anterior descending coronary artery grafting via left anterior small thoracotomy without cardiopulmonary bypass. , 1996, The Annals of thoracic surgery.

[22]  T. Kaul,et al.  Reoperative coronary artery bypass surgery: early and late results and management in 1300 patients. , 1995, The Journal of cardiovascular surgery.