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Reoperation: Techniques and Choice of Conduits

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Coronary Artery Graft Disease

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Abstract

Successful primary coronary artery revascularization results not only in relief of pain but also prolongation of life. The Coronary Artery Surgery Study (CASS) showed significantly lower rate of fatal myocardial infarctions in patients with surgical coronary artery revascularization than in those with medical treatment [25]. However, longer follow-up periods brought up an increasing number of patients with recurrent angina pectoris. Recurrent myocardial ischemia after surgical coronary artery revascularization can be due to various causes, including inadequate patient selection, technical errors, incomplete primary revascularization, graft to coronary artery mismatch, graft failure, progression of coronary artery disease, and all sorts of combinations. Compilation of late patency rates (Fig. 1) for saphenous vein grafts and internal thoracic artery grafts reported in 26 studies summarizing the results of far more than 10000 coronary artery revascularization procedures showed a long-term patency rate at 10-year follow-up of 72% ± 20% for internal thoracic artery grafts compared to 55% ± 21% for saphenous vein graft ([38]; see chapter by Loop, this volume).

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Authors
  1. L. K. von Segesser
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  2. M. I. Turina
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Editor information

Editors and Affiliations

  1. Abteilung Kardiologie, Inselspital, 3010, Bern, Switzerland

    Thomas F. Lüscher

  2. Herz-Gefäßchirurgie, Universitätsspital, 8091, Zürich, Switzerland

    Marko Turina

  3. Department of Medicine, Harvard University and Brigham and Women’s Hospital, Boston, MA, 02115-6195, USA

    Eugene Braunwald

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© 1994 Springer-Verlag Berlin Heidelberg

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von Segesser, L.K., Turina, M.I. (1994). Reoperation: Techniques and Choice of Conduits. In: Lüscher, T.F., Turina, M., Braunwald, E. (eds) Coronary Artery Graft Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78637-2_22

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  • DOI: https://doi.org/10.1007/978-3-642-78637-2_22

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-78639-6

  • Online ISBN: 978-3-642-78637-2

  • eBook Packages: Springer Book Archive

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