[Emergent coronary artery bypass grafting in a survivor of out-of-hospital cardiac arrest].
We report a case of emergent coronary artery bypass grafting (CABG) in a survivor of an out-of-hospital cardiac arrest. A 64-year-old male driver lost consciousness and collapsed in a rice paddy field. A bystander placed him in a car and immediately started cardiopulmonary resuscitation after confirming the presence of pulselessness and apnea. Emergency medical service providers performed a defibrillation of ventricular fibrillation by using an automated external defibrillator (AED), and the patient was transferred to the critical care center in our hospital. Coronary angiography revealed a thrombus in the left main trunk (LMT), total occlusion of the left anterior descending artery (LAD) and the right coronary artery (RCA), and 90% stenosis of the left circumflex artery (Cx). Since the patient recovered consciousness 1 hour after admission and did not undergo any critical trauma, an on-pump CABG was performed for 3 vessels. He was discharged on the postoperative day 23, and he resumed a normal life.
Matsumoto
M
M
Department of Cardiovascular Surgery, Tsuyama Chuo Hospital, Tsuyama, Japan.
Suehiro
K
K
Kubo
H
H
Morimoto
N
N
Shiraishi
K
K
Kasai
S
S
Hagioka
S
S
Naito
H
H
Nagae
M
M
D016887:Cardiopulmonary Resuscitation; D001026:Coronary Artery Bypass; D004562:Electrocardiography; D004632:Emergency Medical Services; D006323:Heart Arrest / Q000601:surgery*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D017741:Survivors; D014693:Ventricular Fibrillation / Q000601:surgery