Reul G J, Cooley D A, Ott D A, Coelho A, Chapa L, Eterovic I
Arch Surg. 1979 Nov;114(11):1269-75. doi: 10.1001/archsurg.1979.01370350071007.
Of the 13,049 patients who underwent coronary artery bypass surgery, 168 underwent a second or third operation because of the failure of the first. The early mortality was eight of 168. Good to excellent results were obtained in 141 patients. The cumulative survival rate was 82% at six years. Graft failure and the progression of atherosclerosis to a critical lesion were the most common reasons for reoperation, and perioperative myocardial infarction and incomplete initial operation were the least common. Long-term follow-up showed a peak of graft failure and progression of disease in nongrafted arteries at three years and decreased thereafter. Progression of distal disease in grafted arteries was not temporally related and was uncommon. Thrombosis of the vein graft could be related most frequently to the distal circulation rather than the vein graft itself.
在接受冠状动脉搭桥手术的13049例患者中，168例因首次手术失败而接受了第二次或第三次手术。早期死亡率为168例中的8例。141例患者获得了良好至优异的结果。六年时的累积生存率为82%。移植血管失败和动脉粥样硬化进展至临界病变是再次手术最常见的原因，围手术期心肌梗死和初次手术不彻底是最不常见的原因。长期随访显示，非移植动脉的移植血管失败和疾病进展在三年时达到高峰，此后下降。移植动脉远端疾病的进展与时间无关且不常见。静脉移植血管血栓形成最常与远端循环有关，而非静脉移植血管本身。
