title: [Re-do coronary artery bypass grafting].
abstract: Redo-coronary artery bypass grafting( redo-CABG) still remains a challenging operation and is associated with a significantly higher risk of morbidity and mortality when compared with primary CABG. The higher risk of redo-CABG is largely attributable to the increased technical difficulty and the greater incremental risk in redo-CABG patients. Annual reports by the Japanese Association for Thoracic Surgery in recent years reveled that the absolute and relative number of redo-CABG gradually decreased, and in-hospital mortality did not change significantly over this periods and was much higher than primary CABG. The increasing use of percutaneous coronary intervention (PCI) for previous CABG patients could be a reason for the decrease of redo-CABG, and therefore surgery of redo-CABG is becoming more limited. This paper presents the current indications, safe surgical technique, and perioperative management of redo-CABG patients, as well as the contemporary results of redo-CABG in our institution.
authors.affiliation: Department of Cardiovascular Surgery, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Yokoyama
authors.forename: Kenji
authors.initials: K
authors.lastname: Kuwaki
authors.forename: Atsushi
authors.initials: A
authors.lastname: Amano
mesh_terms: D001026:Coronary Artery Bypass / Q000379:methods; D006801:Humans; D019990:Perioperative Care; D012086:Reoperation