[Coronary artery bypass grafting after acute myocardial infarction].
OBJECTIVE
To analyze 88 cases of coronary artery bypass grafting (CABG) within 30 days after acute myocardial infarction(AMI).


METHODS
88 cases included 18 cases with emergent angioplasty, 26 cases with postinfarctional angina pectoris, 9 cases with cardiogenic shock and 25 cases with left main lesion.


RESULTS
There were 75 cases underwent off pump coronary artery bypass(OPCAB) and 13 cases underwent beating heart CABG with cardiopulmonary bypass(BH-CPB). The mean number of bypass grafts was 3.4 +/- 0.9. Five patients with preoperative cardiogenic shock died after emergent operations. There were 4 cases with postoperative heart failure, 6 cases with PSVT and 2 cases with bradycardial and treated pacemaking.


CONCLUSIONS
It was neccessry and feasible to perform CABG within 30 days after AMI. Both the OPCAB and BH-CPB were safe methods.
Minimally Invasive Coronary Surgery Center, Peking University People's Hospital, Beijing 100044, China. micsc@sina.com
Yu
Y
Chen
Feng
F
Wan
Long
L
Jiang
Shenglong
S
Chen
Xinsheng
X
Wang
Dongyan
D
Shen
D000208:Acute Disease; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D047549:Coronary Artery Bypass, Off-Pump; D006801:Humans; D009203:Myocardial Infarction