[Coronary bypass grafting after failed percutaneous angioplasty (PTCA)].
Between January 1991 and September 1997, in the Cardiovascular Surgery Department of the Institute of Cardiology of Jagiellonian University Medical School, 23 patients underwent emergency CABG due to acute myocardial ischaemia in result of failed PTCA. Over the same period of time invasive cardiologists performed 1883 PTCAs out of which 23 (1.2%) were emergency cardiosurgical procedures, and in 38 patients, stents were implanted in the damaged coronary arteries. The patients' age ranged from 37 to 67 years (median 52.2). In all patients good left ventricular function was preserved, median ejection fraction being 64%. Two patients required IABP to support left ventricular function. 1-4 bypass grafts were implanted (median 1.9 per patient). In one patient, internal mammary artery was collected and then implanted into anterior interventricular branch. The most common complication was myocardial infarction which occurred in 12 patients (52%). In ten patients low output was observed postoperatively. One operated patient (a female died (4.3%). The mean time of hospitalization was 11 days. Emergency myocardial revascularisation procedures performed after failed PTCA, bring higher risk of mortality and dangerous postoperative complications.
Kapelak
B
B
Kliniki Chirurgii Serca i Naczyń, Uniwersytetu Jagiellońskiego w Krakowie.
Sadowski
J
J
Pfitzner
R
R
Garlicki
M
M
Zmudka
K
K
Pietrzak
I
I
Podolec
P
P
Pieniazek
P
P
Drwila
R
R
Kozanecki
A
A
Wójcik
S
S
Pietrzyk
E
E
Grudzień
G
G
Rudziński
P
P
Dziatkowiak
A
A
D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D003323:Coronary Aneurysm / Q000209:etiology / Q000601:surgery; D001026:Coronary Artery Bypass; D004630:Emergencies; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000503:physiopathology / Q000628:therapy*; D009204:Myocardial Revascularization; D012008:Recurrence; D015607:Stents; D016277:Ventricular Function, Left