Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Reoperation for recurrent angina.

N Brooks, M Honey, M Cattell

    British Heart Journal
    |September 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Epidemic Dysentery.

    The Southern medical record·2022
    Same author

    A randomized controlled trial of intranasal oxytocin in Phelan-McDermid syndrome.

    Molecular autism·2021
    Same author

    Wound Infection: Experience with 12,000 Sutured Surgical Wounds in a General Hospital over a Period of 11 years.

    The Australian and New Zealand journal of surgery·2017
    Same author

    An Experimental Method for Measuring Mechanical Properties of Rat Pulmonary Arteries Verified With Latex.

    Journal of research of the National Institute of Standards and Technology·2016
    Same author

    Side Effects of Anabolic Steroids in Weight-Trained Men.

    The Physician and sportsmedicine·2016
    Same author

    Self-Reported Use of Anabolic-Androgenic Steroids by Elite Power Lifters.

    The Physician and sportsmedicine·2016
    Same journal

    Cardiac enlargement with bradycardia in recruits.

    British heart journal·2010
    Same journal

    Paravertebral block and the electrocardiogram in angina pectoris.

    British heart journal·2010
    Same journal

    Induced changes in the circulation in constrictive pericarditis.

    British heart journal·2010
    Same journal

    Angina pectoris with associated left paroxysmal ptosis.

    British heart journal·2010
    Same journal

    Myxoedema with pericardial effusion.

    British heart journal·2010
    Same journal

    Hypoxaemia tests in coronary disease.

    British heart journal·2010
    See all related articles

    Reoperation for recurrent angina after bypass surgery is safe but yields less satisfactory outcomes than initial procedures. Causes include graft failure and disease progression, impacting patient symptom relief.

    Area of Science:

    • Cardiovascular Surgery
    • Interventional Cardiology

    Background:

    • Persistent or recurrent angina after aortocoronary bypass grafting (ACBG) necessitates further intervention.
    • Identifying the specific causes of recurrent symptoms is crucial for surgical planning.

    Purpose of the Study:

    • To evaluate the safety and outcomes of reoperation in patients experiencing recurrent angina post-ACBG.
    • To determine the factors contributing to recurrent angina and their impact on reoperation success.

    Main Methods:

    • Retrospective analysis of 40 patients undergoing a second cardiac surgery for angina post-ACBG.
    • Angiographic assessment to identify causes of recurrent angina, including graft failure, disease progression, incomplete revascularization, and distal stenoses.
    • Follow-up assessment of symptom relief and functional status post-reoperation.

    Related Experiment Videos

    Main Results:

    • The primary causes for reoperation included isolated graft failure (13 patients), progression of disease (4), incomplete revascularization (2), distal stenoses (1), and multiple factors (20).
    • Early postoperative complications included 1 death and 3 perioperative myocardial infarctions.
    • Among 34 patients followed for over 3 months, symptom relief varied: 5/17 regrafted bypassed vessels were symptom-free, 4/10 ungrafted vessels grafted were symptom-free, and 4/7 combined procedures were symptom-free.

    Conclusions:

    • Reoperation for recurrent angina after ACBG can be performed with acceptable early safety.
    • The long-term results of reoperation are generally less satisfactory compared to primary bypass procedures.
    • Graft failure and progression of underlying coronary artery disease are significant contributors to recurrent angina necessitating reoperation.