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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1990-7-19
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pubmed:abstractText |
Seventy-one coronary artery bypass grafting (CABG) reoperations were performed during a 17-year period, comprising 2.7% of all CABG operations. The main indication (in 87%) was vein graft failure alone or combined with other causes. Progression of disease in native coronary arteries was the sole indication in only 4 of the 71 cases. There were seven perioperative deaths, mainly due to myocardial infarction. Significant perioperative complications arose in 36 cases, including intraoperative lesion of a previous left internal mammary graft (16.2%) or of the right ventricle or anterior descending branch of the left coronary artery (2.8%). Postoperative low output syndrome appeared in 13 patients (18.3%), in seven of whom myocardial infarction was verified. Postoperative bleeding required resternotomy in six cases (9.1%). Because of the heightened operative mortality and morbidity risks, indications for redo CABG should be individualized. A well functioning internal mammary artery graft may be a relative contraindication. Accurate knowledge of the previous operation is essential and, especially in young patients, the possibility of reoperation should be taken into consideration at initial CABG.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0036-5580
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
24
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2353174-Adult,
pubmed-meshheading:2353174-Aged,
pubmed-meshheading:2353174-Cardiac Output, Low,
pubmed-meshheading:2353174-Coronary Artery Bypass,
pubmed-meshheading:2353174-Coronary Disease,
pubmed-meshheading:2353174-Female,
pubmed-meshheading:2353174-Graft Occlusion, Vascular,
pubmed-meshheading:2353174-Hemorrhage,
pubmed-meshheading:2353174-Humans,
pubmed-meshheading:2353174-Male,
pubmed-meshheading:2353174-Middle Aged,
pubmed-meshheading:2353174-Postoperative Complications,
pubmed-meshheading:2353174-Reoperation,
pubmed-meshheading:2353174-Risk Factors,
pubmed-meshheading:2353174-Surgical Wound Infection
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pubmed:year |
1990
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pubmed:articleTitle |
Indications for and risks in reoperation for coronary artery disease.
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pubmed:affiliation |
Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Finland.
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pubmed:publicationType |
Journal Article
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