title: Aortocoronary shunting during off-pump coronary artery bypass surgery as acute reperfusion strategy in ST-elevation myocardial infarction.
abstract: 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, West German Heart Center Essen, Essen, Germany. parwis.massoudy@uni-essen.de
authors.forename: Parwis
authors.initials: P
authors.lastname: Massoudy
authors.forename: Matthias
authors.initials: M
authors.lastname: Thielmann
authors.forename: Andras
authors.initials: A
authors.lastname: Szabo
authors.forename: Ivan
authors.initials: I
authors.lastname: Aleksic
authors.forename: Eva
authors.initials: E
authors.lastname: Kottenberg-Assenmacher
authors.forename: Jenno
authors.initials: J
authors.lastname: Szolnoki
authors.forename: Heinz
authors.initials: H
authors.lastname: Jakob
mesh_terms: 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
chemical_list: D002317:Cardiovascular Agents