Document Detail

Experience of emergency coronary artery bypass grafting surgery and operative transluminal coronary angioplasty.
MedLine Citation:
PMID:  3162047     Owner:  NLM     Status:  MEDLINE    
Our experience of performing emergency coronary artery bypass surgery in 9 patients with acute myocardial infarction (AMI) and of intraoperative transluminal coronary angioplasty (OTCA) during bypass surgery in another 28 patients was reviewed. Data were evaluated in conjunction with the recent application of intracoronary thrombolytic therapy and percutaneous transluminal coronary angioplasty. In 4 of the 9 cases where the emergency coronary artery bypass grafting (CABG) was performed within 2 hours after the onset of AMI, no new Q waves appeared in electrocardiograms (3 cases), and remarkable improvement of left ventriculographic findings was noted when pre- and postoperative ventriculograms were compared in 2 of these 4 cases. Intraoperative transluminal coronary angioplasty was successful in only 51.6% of the cases when evaluated at the post bypass period and this was less successful than our experience with PTCA. The low success rate was considered to be due to the greater amount of intimal fibrosis in the more distal portion, where the OTCA is performed, than is found in the proximal portion of the coronary arteries.
M Endo; M Sekiguchi; H Koyanagi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  49     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  1985 Jun 
Date Detail:
Created Date:  1985-10-09     Completed Date:  1985-10-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  653-7     Citation Subset:  IM    
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MeSH Terms
Angioplasty, Balloon*
Coronary Artery Bypass*
Intraoperative Period
Middle Aged
Myocardial Infarction / physiopathology,  surgery,  therapy*

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