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January 1974

Re-revascularization of the Ischemic MyocardiumStudy of 38 Reoperations for Coronary Insufficiency

Author Affiliations

Long Beach, Calif
From the Department of Thoracic Surgery, St. Mary's Long Beach (Calif) Hospital.

Arch Surg. 1974;108(1):40-42. doi:10.1001/archsurg.1974.01350250032008

Myocardial revascularization procedures were performed on 38 patients who had had a previous major heart operation. Thirty-two patients underwent aortocoronary vein bypass graft as a second procedure, three had a Vineberg operation plus vein graft, and three had some other procedure. There were six deaths, a mortality of 16%. A satisfactory postoperative result was obtained in 25 (70%).

With the possibility of helping 70% of these revascularization failures, the reoperation challenge should be accepted by cardiac surgeons attempting to revascularize the ischemic myocardium.