[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
November 1979

Reoperation for Recurrent Coronary Artery DiseaseCauses, Indications, and Results in 168 Patients

Author Affiliations

From the Texas Heart Institute, Houston.

Arch Surg. 1979;114(11):1269-1275. doi:10.1001/archsurg.1979.01370350071007

• Of the 13,049 patients who underwent coronary artery bypass surgery, 168 underwent a second or third operation because of the failure of the first. The early mortality was eight of 168. Good to excellent results were obtained in 141 patients. The cumulative survival rate was 82% at six years. Graft failure and the progression of atherosclerosis to a critical lesion were the most common reasons for reoperation, and perioperative myocardial infarction and incomplete initial operation were the least common. Long-term follow-up showed a peak of graft failure and progression of disease in nongrafted arteries at three years and decreased thereafter. Progression of distal disease in grafted arteries was not temporally related and was uncommon. Thrombosis of the vein graft could be related most frequently to the distal circulation rather than the vein graft itself.

(Arch Surg 114:1269-1275, 1979)

Johnson WD, Hoffman JF Jr, Flemma RJ, et al:  Secondary surgical procedure for myocardial revascularization . J Thorac Cardiovasc Surg 64:523-529, 1972.
Adam M, Geisler GF, Lambert CJ, et al:  Reoperation following clinical failure of aorta-to-coronary artery bypass vein grafts . Ann Thorac Surg 14:272-281, 1972.Article
Winkle RA, Alderman EL, Shumway NE, et al:  Results of reoperation for unsuccessful coronary artery bypass surgery . Circulation 51 ( (suppl 1) ):62, 1975.Article
Loop FD, Carabajal NR, Taylor PC, et al:  Internal mammary artery bypass grafts in reoperative myocardial revascularization . Am J Cardiol 37:890-895, 1976.Article
Thomas CS Jr, Alford WC Jr, Burrus GR, et al:  Results of reoperation for failed aortocoronary bypass grafts . Arch Surg 111:1210-1213, 1976.Article
Oglietti J, Angelini P, Leachman RD, et al:  Myocardial revascularization: Early and late results after reoperation . J Thorac Cardiovasc Surg 71:736-740, 1976.
Irarrazaval MJ, Cosgrove DM, Loop FD, et al:  Reoperation for myocardial revascularization . J Thorac Cardiovasc Surg 73:181-188, 1977.
Wukasch DC, Toscano M, Cooley DA, et al:  Reoperation following direct myocardial revascularization . Circulation 56 ( (suppl 2) ):3-7, 1977.
Norwood WI, Cohn LH, Collins JJ Jr:  Results of reoperation for recurrent angina pectoris . Ann Thorac Surg 23:9-13, 1977.Article
Culliford AT, Girdwood RW, Isom OW, et al:  Angina following myocardial revascularization . J Thorac Cardiovasc Surg 77:889-895, 1979.