Salvage of acutely ischemic myocardium by emergency coronary artery bypass grafting.
After cardiac catheterization a 53-year old patient developed widespread myocardial ischemia that produced electromechanical dissociation and cardiogenic shock. The administration of methylprednisolone, the initiation of cardiopulmonary bypass and hypothermia within 40 min of the onset of ischemia, and reperfusion within 90 min of the onset of ischemia were sufficient to salvage a major portion of the ischemic myocardium.
D006328:Cardiac Catheterization / Q000009:adverse effects; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D004562:Electrocardiography; D004630:Emergencies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012770:Shock, Cardiogenic / Q000209:etiology