[Value of coronary reperfusion in cases of very low cardiac output following coronary artery bypass grafts].
From January 1986 to December 1988, 244 patients had a coronary artery revascularization at St Joseph Hospital. Four patients (1.8%) died in post operative time (less than 30 days). None died directly from cardiogenic shock. Five patients had a severe low cardiac output (2 h to 48 h post-op) and needed cardiac resuscitation. These patients were immediately taken to the operating room. The coronary bypasses were explored (2 technical errors corrected), the metabolic disorders were treated and a coronary reperfusion was done with the Buckberg's technique. All the patients could be weaned from cardiopulmonary bypass, two with intra aortic balloon pumping. One patient died of digestive complication the 10th postoperative day. The four other patients survived and are in good clinical condition. The severe low cardiac output after coronary revascularization can be reversible with resuscitation in operating room, short assistance, and coronary reperfusion.
Bical
O
O
Service de Chirurgie Thoracique et Cardiovasculaire, Hôpital Saint-Joseph, Paris.
Gaillard
D
D
Fischer
M
M
Foiret
J C
JC
Robinault
J
J
Comas
J
J
Vanetti
A
A
Barraud
C
C
Detoni
L
L
D000368:Aged; D002303:Cardiac Output, Low / Q000209:etiology / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003327:Coronary Disease / Q000601:surgery; D005260:Female; D006336:Heart Massage; D006801:Humans; D008297:Male; D008875:Middle Aged; D015425:Myocardial Reperfusion / Q000379:methods*; D011183:Postoperative Complications