Emergency off-pump coronary artery bypass (OPCAB) for left main coronary occlusion using rapid aorto-coronary perfusion.
64 year old female with occluded left main after first injection brought to the operating room in extremis on IABP and maximum inotropes. LAD grafted with sapenous vein and immediate aorto-coronary perfusion. Circumflex grafted and patient taken to ICU. Patient discharged on POD #6 after echo shows normal ventricular with no wall motion abnormality.
Kerr
Paul
P
Department of Cardiothoracic Surgery, SUNY at Buffalo, Buffalo, New York, USA. paulckerr@msn.com
Abraham
Reginald
R
D002316:Cardiotonic Agents / Q000627:therapeutic use; D001026:Coronary Artery Bypass; D003326:Coronary Circulation / Q000502:physiology; D003327:Coronary Disease / Q000188:drug therapy / Q000601:surgery*; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008875:Middle Aged
D002316:Cardiotonic Agents