Patent coronary artery bypass grafts are at risk of injury during redo cardiac surgery. In particular, damage to a patent left internal mammary artery (LIMA) graft during repeat surgery is a well-described and potentially lethal complication [1]. Precise anatomical information is important for planning the surgical approach in reoperative cardiac surgery. The standard preoperative work-up inclu...

surgery for heart diseases during pregnancy, especially necessitating cardiopulmonary bypass, is believed to trigger maternal and fetal risks and should be performed only when medical therapy has been unsuccessful to alleviate the cardiac decompensation. a 33-year-old pregnant woman in her 33rd week of gestation was admitted to our hospital. she had rheumatic mitral valvular stenosis and had un...

The mortality (5–15%) [ 1 ] and morbidity are higher for redo coronary artery bypass grafting (CABG) operations than for primary CABG procedures. There are multiple causes for the higher mortality of patients in need of repeat CABG, including left ventricular dysfunction as coronary artery disease (CAD) has progressed and decreased function of multiple organs with advancing age. Several risk st...

Results Mean logistic Euroscore was 29.6 for redo-TAVI compared to 18.6 for redo-SAVR (p < 0.05). Type of previous cardiac surgery performed in each redo group is summarised in Table 1. TAVI access was transfemoral (65.5%), transapical (6.7%), or trans-aortic (27.8%). Despite a higher incidence of MACE (major adverse cardiac events) in SAVR patients, results indicated no significant differences...

From March 1990 to May 1993,309 patients underwent redo cardiac surgery operation at the Shahid Rajai Heart Hospital in Tehran. Early mortality rates in these patients showed a significant increase in comparison to patients undergoing open heart surgery for the first time. Late mortality (at least one month after surgery) in the patients was slightly increased also but less than early morta...

BACKGROUND The purpose of this study was to evaluate early and late results of reoperative coronary artery bypass grafting compared with those of first coronary artery bypass grafting. METHODS From November 21, 1994, to December 31, 2001, 4,381 patients underwent isolated coronary revascularization: among these patients, 274 (6.3%) underwent a redo. Applying the propensity score, 239 redo pat...

OBJECTIVE Since 1992, homografts have been implanted in our institution. After initial sub-coronary implantation of the homograft, our preferred technique for aortic-valve replacement with homografts became root replacement, which poses a surgical challenge whenever redo procedures are necessary. The aim of the present study was to evaluate the outcome after homograft redo surgery, based on pro...

A 40 year-old female, with a history of cardiac surgery for congenital aortic valve stenosis and von Willebrand's disease (VWD) presented with increasing shortness of breath due to mixed aortic valve dysfunction. With a paucity of such cases in the literature, we describe the successful outcome of a patient with VWD who underwent elective redo-redo aortic root replacement with a mechanical valv...