Aortocoronary shunting during off-pump coronary artery bypass surgery as acute reperfusion strategy in ST-elevation myocardial infarction.
We report the case of a 43-year-old patient with acute ST-segment elevation anterior myocardial infarction who underwent off-pump coronary artery bypass grafting. To reduce the duration of ongoing myocardial ischemia, acute reperfusion of the infarcted coronary artery was achieved using an aortocoronary shunt, thereby perfusing the occluded left anterior descending artery. Under the protection of the aortocoronary shunt, the left internal thoracic artery was harvested and was thereafter anastomosed to the left anterior descending artery. The patient had an uneventful postoperative recovery.
Massoudy
Parwis
P
Department of Thoracic and Cardiovascular Surgery, West German Heart Center Essen, Essen, Germany. parwis.massoudy@uni-essen.de
Thielmann
Matthias
M
Szabo
Andras
A
Aleksic
Ivan
I
Kottenberg-Assenmacher
Eva
E
Szolnoki
Jenno
J
Jakob
Heinz
H
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D002317:Cardiovascular Agents / Q000008:administration & dosage; D002404:Catheterization; D047549:Coronary Artery Bypass, Off-Pump; D023903:Coronary Restenosis / Q000150:complications / Q000601:surgery* / Q000628:therapy; D016503:Drug Delivery Systems; D004562:Electrocardiography; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D009204:Myocardial Revascularization / Q000295:instrumentation*; D015607:Stents; D013997:Time Factors
D002317:Cardiovascular Agents