Document Detail

Off-pump coronary artery bypass is an alternative to conventional cardiopulmonary bypass when repair of traumatic coronary artery injuries is indicated.
MedLine Citation:
PMID:  17375793     Owner:  NLM     Status:  MEDLINE    
Coronary artery injuries after penetrating cardiac trauma are rare. The standard approach to these injuries has traditionally been coronary artery ligation. When cardiac perfusion is profoundly compromised, cardiopulmonary bypass has been used to facilitate revascularization, although with serious morbidity. We report a case of traumatic left anterior descending coronary artery transection repaired off-pump in a young stabbing victim. Penetrating traumatic cardiac injuries are highly lethal injuries. Cardiopulmonary bypass has been used for myocardial revascularization when cardiac perfusion is compromised, although with significant complications. Off-pump coronary artery bypass is a safe alternative in the traumatized patient.
Forrest O Moore; John D Berne; William F Turner; David H Villarreal; Thomas McGovern; Stephen A Rowe; Scott H Norwood
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  73     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-22     Completed Date:  2007-04-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  296-8     Citation Subset:  IM    
Division of Trauma and Surgical Critical Care, East Texas Medical Center, Tyler, Texas 75701, USA.
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MeSH Terms
Abdominal Injuries / diagnosis,  surgery
Cardiopulmonary Bypass / contraindications*
Coronary Artery Bypass, Off-Pump / methods*
Coronary Vessels / injuries*,  surgery
Follow-Up Studies
Heart Injuries / diagnosis,  surgery*
Multiple Trauma*
Radiography, Thoracic
Trauma Severity Indices
Wounds, Stab / diagnosis,  surgery*

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