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January 1974

Re-revascularization of the Ischemic Myocardium: Study 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.

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