Repeat coronary artery bypass: a seven-year experience.

Repeat coronary artery bypass (RCAB) procedures were performed on 323 patients from March 1984 through December 1990. The mean interval between bypass operations was 7.8 years.

Coronary artery bypass plus mitral valve replacement. A five-year study.

Fifty-two patients with a mean age of 67.6 years underwent coronary artery bypass plus mitral valve replacement from 2 April 1984, through 6 February 1989. All but four of these 25 males and 27 females were in the New York Heart Association Functional Classes III and IV, with presenting symptoms of angina and/or dyspnea.

Combined antegrade/retrograde cardioplegia for myocardial protection: a clinical trial.

The role of retrograde coronary sinus perfusion in the preservation of ischemic myocardium is controversial. We evaluated the use of combined antegrade and retrograde cardioplegia in 59 patients undergoing coronary artery bypass surgery. Nineteen patients were administered antegrade cardioplegia, whereas 40 patients were administered antegrade plus retrograde cardioplegia.

Cardioplegia delivery by combined aortic root and coronary sinus perfusion.

Retrograde coronary sinus perfusion for the administration of cardioplegic solutions has recently been the subject of renewed interest. A method is described for the administration of bolus antegrade cardioplegia followed by continuous retrograde coronary sinus perfusion, particularly for patients with left main artery disease, left main equivalent, or aortic root/aortic valve disease. Advantages of the technique are discussed, as well as its limitations and its use for myocardial preservation in heart transplantation.