title: [Clinical application of redo coronary artery bypass grafting].
abstract: OBJECTIVE
  To determine the clinical characteristics and outcomes of redo CABG.
  
  
  METHODS
  The outcomes of 42 consecutive patients who underwent redo CABG from January 2002 to December 2010 was analyzed. There were 29 males and 13 females, aging from 46 to 78 years old with a mean of (61.2 ± 2.1) years. Off-pump CABG was applied for 31 patients and on-pump CABG for 11 patients. There were 1 patient underwent concomitant aortic valve replacement and 1 patient underwent aortic root and right aortic arch replacement respectively.
  
  
  RESULTS
  Three patients died of right ventricle rupture, heart failure and multiple system organ failure respectively and the perioperative mortality rate was 4.8%. The post-operatively mechanical ventilation time varied from 9 to 27 h with a mean of (17 ± 7) h. There was no residual angina and perioperative myocardial infarction in the remaining patients who were all discharged uneventfully. Intraoperative 6 patients had accepted intraaortic balloon counterpulsation. During the follow-up from 6 months to 4.5 years for 38 patients, which showed no evidence of recurrent angina and postoperative coronary CT angiography in 12 patients showed the patency of grafts is good.
  
  
  CONCLUSIONS
  Satisfactory outcome of redo coronary artery bypass grafting can be achieved if proper indication were choose and reasonable management were performed.
authors: Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, China.
authors: Ju-Bing
authors: JB
authors: Zheng
authors: Bao-Tian
authors: BT
authors: Chen
authors: Ran
authors: R
authors: Dong
authors: Tao-Shuai
authors: TS
authors: Liu
authors: Yang
authors: Y
authors: Li
authors: Jian
authors: J
authors: Cao
mesh_terms: D000368:Aged; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D023903:Coronary Restenosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D016896:Treatment Outcome