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[主动脉冠状动脉旁路移植术后再次手术。适应证与结果]

[Reoperation following aortocoronary bypass. Indications and results].

作者信息

Weinhold C, Nollau D, Schütz A, Reichart B, Vetter H N

出版信息

Fortschr Med. 1984 Feb 16;102(7):152-4.

PMID:6608481
Abstract

Aorto coronary reoperation can be performed with a low morbidity and mortality rate which approaches that of initial surgical procedures. Increasing experience in setting indication and in managing surgical procedures has led to better results during the last years. There is a good prognosis in such cases having only singular new stenoses in greater coronary vessels, which still have a good run off. Also good results can be expected in patients suffering from stenotic or completely occluded grafts, without progression of disease. Only 50-60% of the reoperated patients obtain complete relief of angina, which is comparable to our results of 41 cases.

摘要

主动脉冠状动脉再次手术可以在接近初次手术的低发病率和死亡率的情况下进行。近年来,在确定手术指征和管理手术操作方面经验的增加带来了更好的结果。对于仅在较大冠状动脉血管中有单一新狭窄且仍有良好血流的病例,预后良好。对于患有狭窄或完全闭塞移植物且疾病无进展的患者,也可预期有良好结果。再次手术的患者中只有50 - 60%的心绞痛能完全缓解,这与我们41例患者的结果相当。

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