Brazilian Journal of Cardiovascular Surgery
Print version ISSN 0102-7638
PINTO, Ibraim Masciarelli F et al. Second surgery for myocardial revascularization. Rev Bras Cir Cardiovasc [online]. 1987, vol.2, n.3, pp.171-174. ISSN 0102-7638. http://dx.doi.org/10.1590/S0102-76381987000300003.
A second surgery for myocardial revascularization may be needed in some patients. One still discussed the reasons and the risk of such procedure. A group of 162 patients who underwent a second coronary by-pass graft surgery was analized. There was a significant number of patients with high blood pressure and with previous myocardial infarction. The reason for reoperation was either lesion within the by-pass lumen or a lesion within the lumen of a native artery non-previously treated. Most patients underwent the second coronary by-pass graft surgery after an interval of, at least, 6 years after the previous surgery. In-hospital mortality was 9% (23 patients). Authors discuss the possivle causal relationship between these findings and reoperation, as well as the causes of the high mortality.
Keywords : myocardial revascularization [surgery].