Clin Res Cardiol 96:Suppl 2 (2007)

P370 - Is second redo CABG justified: A comparison of quality of life (SF 36) between mid-term survivors and an age-matched population.
M. Shrestha1, N. Khaladj1, H. Baraki1, A. Haverich1, C. Hagl1
1Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Medizinische Hochschule Hannover, Hannover;
Background: It has been shown that in experienced hands repeated CABG is doable procedure. However the quality of life after Re-Re-CABG has not been evaluated so far.
Methods: The peri-operative data of 25 (22 male, mean age of 65.5 ± 8.0 years) consecutive patients in a single centre undergoing RE-RE-CABG from 4/96 to 11/06 were studied. Quality of life (QoL) was assessed by Short Form (SF)-36 Questionnaire.
Results: 30 day mortality was 12% (3/25). Seven died during follow-up. In 15 survivors median follow-up was 94 months (2-122 months). 1-, 5-, and 10-year survival were 77.8%, 65.0%, and 53.1%, respectively. Present NYHA status was significantly improved in comparison to preoperative values (2.4 ± 0.8 vs 3.2 ± 0.56, p=0.012). QoL was comparable with an age matched general population.
Re-Re-CABG can be performed with an acceptable perioperative mortality. Significant improvement of NYHA status and acceptable quality of life results justifies our surgical approach in this challenging patient cohort.