Abstract
Introduction It has been shown that in experienced hands repeated CABG is doable procedure. However the quality of life after third time CABG has not been evaluated so far. Patients and Methods The peri-operative data of 25 (22 male, mean age of 65.5 ± 8.0 years) consecutive patients in a single centre undergoing third time-CABG from 4/96 to 11/06 were studied. Quality of life (QoL) was assessed by Short Form (SF)-36 Questionnaire. Results 30 day mortality was 12% (3/25). Seven died during follow-up. In 15 survivors median follow-up was 94 months (2–122 months). 1-, 5-, and 10-year survival were 77.8%, 65.0%, and 53.1%, respectively. Present NYHA status was significantly improved in comparison to preoperative values (2.4 ± 0.8 vs. 3.2 ± 0.56, p = 0.012). QoL was comparable with an age matched general population with heart insufficiency. Conclusion Third time CABG can be performed with acceptable peri-operative mortality. Significant improvement of NYHA status and acceptable quality of life results justifies our surgical approach in this challenging patient cohort.
Highlights
It has been shown that in experienced hands repeated Coronary artery bypass grafting (CABG) is doable procedure
We report our single center experience with 25 patients undergoing third time CABG with particular emphasis on quality of life after this procedure
Present NYHA status was significantly improved in comparison to preoperative values (2.4 ± 0.8 vs. 3.2 ± 0.56, p = 0.012)
Summary
It has been shown that in experienced hands repeated CABG is doable procedure. The quality of life after third time CABG has not been evaluated so far. Coronary artery bypass grafting (CABG) for therapy of patients with symptomatic multi-vessel coronary artery disease is an established procedure. It offers well documented relief of angina pectoris and prolongs the life of patients. Coronary artery disease (CAD) is progressive and degenerative changes are known to occur in bypass conduits, especially Saphenous vein grafts. CABG is not a curative but a palliative therapy. It has been estimated that almost 7% of all patients undergoing CABG will have a repeat operation within 10 years following primary surgery. The number of patients requiring a third—time CABG (Re-redo CABG) has increased
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