title: [A successful surgical case of acute myocardial infarction in total obstruction of the left main coronary arterial ostium].
abstract: Cardiogenic shock due to acute myocardial infarction in an 81-year-old man with total obstruction of the left main coronary arterial ostium was successfully treated with coronary artery bypass grafting. Although this procedure was successful there are some problems in the surgical management of this condition with regard to myocardial protection and preoperative evaluation of poorly visualized left coronary system. It is necessary to infuse first a large volume of high pressure cardioplegic solution and then follow it with another infusion of the solution, through the vein graft, at the regular volume and pressure. Furthermore, the complete revascularization of the left coronary system by vein grafts is recommended.
authors.affiliation: Department of Cardiovascular Surgery, Oyama Municipal Hospital.
authors.forename: K
authors.initials: K
authors.lastname: Akiyama
authors.forename: N
authors.initials: N
authors.lastname: Anzai
authors.forename: A
authors.initials: A
authors.lastname: Kojima
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000473:pathology*; D004630:Emergencies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000473:pathology / Q000601:surgery*