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Evaluation of the Patients with Recurrent Angina After Coronary Artery Bypass Grafting.
Salihi, Salih; Erkengel, Halil Ibrahim; Toptan, Fatih; Özalp, Bilhan; Saçli, Hakan; Kara, Ibrahim.
Afiliação
  • Salihi S; Department of Cardiovascular Surgery, Medicine Faculty, Sakarya University, Sakarya, Turkey.
  • Erkengel HI; Department of Cardiovascular Surgery, Sakarya Training and Research Hospital, Sakarya, Turkey.
  • Toptan F; Department of Anesthesiology and Reanimation, Sakarya Training and Research Hospital, Sakarya, Turkey.
  • Özalp B; Department of Cardiovascular Surgery, Sakarya Training and Research Hospital, Sakarya, Turkey.
  • Saçli H; Department of Cardiovascular Surgery, Medicine Faculty, Sakarya University, Sakarya, Turkey.
  • Kara I; Department of Cardiovascular Surgery, Medicine Faculty, Sakarya University, Sakarya, Turkey.
Braz J Cardiovasc Surg ; 39(4): e20230303, 2024 May 15.
Article em En | MEDLINE | ID: mdl-38749004
ABSTRACT

INTRODUCTION:

In this study, we aimed to evaluate the most common causes of recurrent angina after coronary artery bypass grafting (CABG) and our treatment approaches applied in these patients.

METHODS:

We included all patients who underwent CABG, with or without percutaneous coronary intervention after CABG, at our hospital from September 2013 to December 2019. Patients were divided into two groups according to the time of onset of anginal pain after CABG. Forty-five patients (58.16 ± 8.78 years) had recurrent angina in the first postoperative year after CABG and were specified as group I (early recurrence). Group II (late recurrence) comprised 82 patients (58.05 ± 8.95 years) with angina after the first year of CABG.

RESULTS:

The mean preoperative left ventricular ejection fraction was 53.22 ± 8.87% in group I, and 54.7 ± 8.58% in group II (P=0.38). No significant difference was registered between groups I and II regarding preoperative angiographic findings (P>0.05). Failed grafts were found in 27.7% (n=28/101) of the grafts in group I as compared to 26.8% (n=51/190) in group II (P>0.05). Twenty-four (53.3%) patients were treated medically in group I, compared with 54 (65.8%) patients in group II (P=0.098). There was a need for intervention in 46.6% (n=21) of group I patients, and in 34.1% (n=28) of group II patients.

CONCLUSION:

Recurrent angina is a complaint that should not be neglected because most of the patients with recurrent angina are diagnosed with either native coronary or graft pathology in coronary angiography performed.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Recidiva / Ponte de Artéria Coronária / Angina Pectoris Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Braz J Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Recidiva / Ponte de Artéria Coronária / Angina Pectoris Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Braz J Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil