Abstract
Reoperative Coronary Artery Bypass Grafting: Review of Changing Pattern and Outcomes
Highlights
Since coronary artery bypass graft (CABG) surgery was introduced for clinical practice in the 1960s, it has demonstrated its efficiency to improve symptoms and prognosis in patients with the advanced coronary atherosclerotic disease [1]
Juniper Online Journal of Case Studies deferent techniques of reoperative CABG like: off-pump versus In this review, we present both multi- and single-center studies on-pump, or thoracotomy versus resternotomy were excluded. on trends and outcomes of reoperative CABG (Table 1)
They found that patients’ freedom from reintervention was 73%, 60%, and 46% at 15, 20, and 25 years after the first operation respectively. This means that more than half of primary CABG patients will have coronary reintervention if they lived for 25 years after the operation [8]
Summary
Since coronary artery bypass graft (CABG) surgery was introduced for clinical practice in the 1960s, it has demonstrated its efficiency to improve symptoms and prognosis in patients with the advanced coronary atherosclerotic disease [1]. A number of improvements have been made in the pre, intra-, and postoperative management of reoperative CABG patients over the last decades. These improvements have included technological developments as well as the increased experience of the teams treating these patients (cardiology, anesthesia, intensive care, and surgical teams). The effect of all these improvements on the outcomes of reoperative CABG is masked by the change in the risk profile of the patients. The prevalence of reoperative CABG has decreased, the risk profiles of the patients have increased [5,6,7]
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