Ohno Takayuki
Department of Cardiovascular Surgery, Mitsui Memorial Hospital, Tokyo, Japan.
Kyobu Geka. 2021 Sep;74(10):729-733.
Redo coronary artery bypass grafting( CABG) may be the most technically challenging operations in cardiac surgery. The coronary artery disease is more advanced, and the coronary targets may be suboptimal. Furthermore, the patients are typically older and sicker compared to those undergoing primary CABG. The frequency of redo CABG relative to total CABG procedures has been decreasing over time. Perioperative mortality for redo CABG is reported to be as high as three times that of primary CABG, but this risk is reduced with experience. Redo CABG is a complicated operation, and appropriate surgical strategies are essential for achieving good outcomes.
再次冠状动脉旁路移植术(CABG)可能是心脏外科手术中技术难度最大的手术。冠状动脉疾病更为严重,冠状动脉靶点可能不理想。此外,与接受初次CABG的患者相比,这些患者通常年龄更大且病情更重。随着时间的推移,再次CABG相对于总CABG手术的频率一直在下降。据报道,再次CABG的围手术期死亡率高达初次CABG的三倍,但随着经验的积累,这种风险会降低。再次CABG是一项复杂的手术,合适的手术策略对于取得良好的治疗效果至关重要。