Myocardial protection in reoperative coronary artery bypass grafting:.
Redo coronary artery bypass grafting (CABG) is associated with higher morbidity and mortality when compared to first-time CABG. Myocardial infarction and dysfunction contribute significantly to the increased risk of redo CABG. Results of reoperative coronary surgery have gradually improved, largely because of improvements in myocardial protection techniques. In the present review we will highlight the principles of myocardial protection in redo CABG patients with an emphasis on retrograde cardioplegia.
Fazel
Shafie
S
Toronto General Hospital and Sunnybrook and Women's Health Sciences Centre, Affiliated with the University of Toronto, Ontario, Canada.
Borger
Michael A
MA
Weisel
Richard D
RD
Cohen
Gideon
G
Pelletier
Marc P
MP
Rao
Vivek
V
Yau
Terrence M
TM
D001026:Coronary Artery Bypass / Q000379:methods* / Q000401:mortality; D003327:Coronary Disease / Q000601:surgery*; D006324:Heart Arrest, Induced / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications; D009203:Myocardial Infarction / Q000209:etiology; D017063:Outcome Assessment, Health Care; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation*