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Titolo:
Late outcome of reoperative coronary revascularization on the beating heart
Autore:
Stamou, SC; Pfister, AJ; Dullum, MKC; Boyce, SW; Bafi, AS; Lomax, T; Garcia, JM; Corso, PJ;
Indirizzi:
Washington Hosp Ctr, Dept Surg, Sect Cardiac Surg, Washington, DC 20010 USA Washington Hosp Ctr Washington DC USA 20010 urg, Washington, DC 20010 USA Med Star Res Inst, Washington, DC USA Med Star Res Inst Washington DC USA ed Star Res Inst, Washington, DC USA
Titolo Testata:
HEART SURGERY FORUM
fascicolo: 1, volume: 4, anno: 2001,
pagine: 69 - 73
SICI:
1098-3511(2001)4:1<69:LOORCR>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHRONIC ISCHEMIC CARDIOMYOPATHY; ARTERY BYPASS-SURGERY; CARDIOPULMONARY BYPASS; CARDIAC-SURGERY; THORACOTOMY; TRANSPLANTATION; OCTOGENARIANS; EXPERIENCE; GRAFT; CABG;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Stamou, SC Washington Hosp Ctr, Dept Surg, Sect Cardiac Surg, 106 Irving St NW,Suite 316,S Tower, Washington, DC 20010 USA Washington Hosp Ctr 106 Irving St NW,Suite 316,S Tower Washington DC USA 20010
Citazione:
S.C. Stamou et al., "Late outcome of reoperative coronary revascularization on the beating heart", HEART SUR F, 4(1), 2001, pp. 69-73

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-interventionwas 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.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 18:39:21