Document Detail


Acute left main coronary artery occlusion. Survival following emergent coronary bypass.
MedLine Citation:
PMID:  3500687     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Emergent aortocoronary bypass surgery for acute myocardial infarction is controversial. We describe a patient with total occlusion of the left main coronary artery associated with acute anterior wall infarction and refractory cardiogenic shock. The patient underwent successful emergent coronary bypass surgery to manage refractory cardiogenic shock. He has subsequently experienced a prolonged survival (60 months postsurgery). This report suggests that emergent aortocoronary bypass surgery should be considered in patients with acute myocardial infarction with refractory cardiogenic shock in whom other forms of reperfusion are unsuccessful.
Authors:
M A O'Shaughnessy; J C Ransbottom; B S Stiles; J R Stanford; M J Mirro
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of internal medicine     Volume:  147     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-01-04     Completed Date:  1988-01-04     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2207-9     Citation Subset:  AIM; IM    
Affiliation:
Midwest Cardiovascular Research Foundation, Fort Wayne, IN 46860.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Angiography
Coronary Artery Bypass*
Coronary Disease / radiography,  surgery*
Emergency Medical Services*
Humans
Male
Middle Aged
Saphenous Vein / transplantation
Grant Support
ID/Acronym/Agency:
AI 11403/AI/NIAID NIH HHS

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