| Transmyocardial left-to-right shunt complicating acute inferior wall myocardial infarction after aortocoronary bypass. | |
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MedLine Citation:
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PMID: 1079375 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 61-year-old woman suffered an inferior wall myocardial infarction on the third day following aortocoronary bypass surgery. Her condition subsequently deteriorated and she was not responsive to vigorous conventional therapy. On the twenty-first postoperative day, selective coronary arteriography revealed a patent circumflex bypass graft and an occluded right coronary artery bypass graft. Left ventricular injection showed slight dilation of the ventricle and a reduced ejection fraction. A dissection from the left ventricular cavity into the myocardium, across the septum near the apex of the left ventricle with rupture into the right ventricle, was seen functioning as a left-to-right shunt with a step-up in oxygen saturation at that level. This was corrected by operation on the twenty-ninth postoperative day and, 9 months after operation, the patient remains asymptomatic and has normal exercise tolerance. |
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Authors:
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F Ibrahim; S A Kinard; E L Schwartz; E B Diethrich |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Surgery Volume: 77 ISSN: 0039-6060 ISO Abbreviation: Surgery Publication Date: 1975 Feb |
Date Detail:
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Created Date: 1975-07-18 Completed Date: 1975-07-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0417347 Medline TA: Surgery Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 285-90 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Artery Bypass
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adverse effects* Electrocardiography Female Heart Catheterization Heart Diseases / etiology, surgery Heart Septum* Heart Ventricles / surgery Humans Middle Aged Myocardial Infarction / complications, etiology* Prostheses and Implants Rupture, Spontaneous Saphenous Vein / transplantation Transplantation, Autologous |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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