Of 1041 patients with consecutive aortocoronary bypass operations, 53 (5.1%) underwent reoperation during a mean follow-up time of three and a half years. The operative mortality of first operations was 1.2%, and of reoperations 3.8%. The anatomical reason for reoperation was failure of the bypass graft in 41 (77%) patients, which in 18 was accompanied by progression of disease. Progression alone was seen in seven (13%). When symptoms occurred within six months after the first operation, failure of the bypass graft(s) was nearly always found--in 32 out of 36 instances. Progression in non-bypassed arteries was seen only when symptoms occurred later. Late results in angina pectoris were less favourable in the group undergoing reoperation: 31 (65%) of the 48 operated on twice and 406 (46%) of the 877 patients operated on once still had angina at late follow-up. The same fraction in both groups was improved by operation: 88% versus 89%.

Additional Metadata
Keywords *Coronary Artery Bypass, Adult, Angina Pectoris/surgery, Exertion, Female, Human, Male, Middle Aged, Recurrence, Reoperation, Time Factors
Persistent URL hdl.handle.net/1765/4093
Citation
Laird-Meeter, K, van den Brand, M.J.B.M, Serruys, P.W.J.C, Penn, O.C.K.M, Haalebos, M.M.P, Bos, E, & Hugenholtz, P.G. (1983). Reoperation after aortocoronary bypass procedure. Results in 53 patients in a group of 1041 with consecutive first operations. British Heart Journal, 50, 157–162. Retrieved from http://hdl.handle.net/1765/4093