Outcome after redo coronary artery bypass grafting in patients with ischaemic cardiomyopathy and viable myocardium

V. Rizzello, D. Poldermans, A. F L Schinkel, E. Biagini, E. Boersma, A. Elhendy, F. B. Sozzi, A. Palazzuoli, A. Maat, F. Crea, J. J. Bax

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Abstract

Background: Repeat coronary artery bypass grafting (redo-CABG) in patients with ischaemic cardiomyopathy is associated with high perioperative risk and worse long-term outcome compared with patients undergoing their first CABG. Objective: To assess whether patients with viable myocardium undergoing redo-CABG have a better outcome. Methods: 18 patients with ischaemic cardiomyopathy underwent redo-CABG and 34 underwent their first CABG; all had substantial viability (≥25% of the left ventricle) on dobutamine stress echocardiography (DSE). Left ventricular ejection fraction (LVEF) and heart failure symptoms were assessed before and 9-12 months after revascularisation. Cardiac event rate was assessed during the follow-up period (median 4 years, 25-75th centile 2.8-4.9 years). Results: The extent of viable myocardium on DSE was comparable in the two groups (11.3 (3.9) segments in patients who underwent redo-CABG v 12.8 (3.0) in patients who underwent their first CABG; p = NS). LVEF improved from 32% (9%) to 39% (12%); p = 0.01, in patients who underwent redo-CABG and from 30% (7%) to 36% (7%); p

Original languageEnglish
Pages (from-to)221-225
Number of pages5
JournalHeart
Volume93
Issue number2
DOIs
Publication statusPublished - Feb 2007

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Rizzello, V., Poldermans, D., Schinkel, A. F. L., Biagini, E., Boersma, E., Elhendy, A., Sozzi, F. B., Palazzuoli, A., Maat, A., Crea, F., & Bax, J. J. (2007). Outcome after redo coronary artery bypass grafting in patients with ischaemic cardiomyopathy and viable myocardium. Heart, 93(2), 221-225. https://doi.org/10.1136/hrt.2006.088146