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[Coronary reoperation--yes or no?].

L Egloff, M Studer, M Rothlin

    Schweizerische Medizinische Wochenschrift
    |August 18, 1984
    PubMed
    Summary
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    Reoperation for postoperative angina pectoris yielded poorer outcomes than initial surgery. Good left-ventricular function is crucial for successful reoperation in cardiac patients.

    Area of Science:

    • Cardiac Surgery
    • Cardiology
    • Thoracic Surgery

    Context:

    • Postoperative angina pectoris following initial cardiac surgery presents a clinical challenge.
    • Reoperation is sometimes necessary to manage persistent or recurrent angina.
    • Evaluating outcomes and risk factors for reoperation is essential for patient selection.

    Purpose:

    • To assess the outcomes of reoperation for postoperative angina pectoris.
    • To identify significant risk factors associated with reoperation for angina.

    Summary:

    • A study of 51 patients reoperated for angina pectoris between 1979 and 1984 showed less favorable results compared to initial operations.
    • Cardiac death occurred in 7 patients (early and late).
    • Reduced ejection fraction (<50%) was the primary risk factor identified.

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    Impact:

    • Results suggest reoperation for angina should be reserved for carefully selected patients.
    • Ideal candidates have severe angina, preserved left-ventricular function, and suitable coronary anatomy for bypass.
    • Adequate graft availability (saphenous vein, internal mammary artery) is also important.