[A successful case of emergency coronary artery bypass grafting for a patient with cardiopulmonary arrest on arrival at our hospital due to acute myocardial infarction].
A successful case of emergency coronary artery bypass grafting for a 62-year-old man with cardiopulmonary arrest due to acute myocardial infarction was reported. He developed cardiopulmonary arrest 4 minutes before arrival at Critical care and Emergency Department of our hospital. The ECG of the patient showed ventricular fibrillation. He was resuscitated successfully 26 minutes after cardiopulmonary arrest. Emergency coronary angiography revealed that LAD just proximal was totally occluded and LCx just proximal was 90% stenosed. As he was still in the state of shock after resuscitation, emergency CABG was performed to LAD and LCx using saphenous vein grafts. The post operative course was uneventful. The patient has resumed a normal and active life-style as a deput principal of a high school one year after operation.
Yamamoto
K
K
First Department of Surgery, Yokohama City University School of Medicine, Japan.
Imoto
K
K
Hirano
K
K
Sugiyama
M
M
Kondo
J
J
Matsumoto
A
A
D016887:Cardiopulmonary Resuscitation; D001026:Coronary Artery Bypass; D004630:Emergencies; D006323:Heart Arrest / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation