title: Coronary artery bypass grafting for acute myocardial infarction in stent ERA.
abstract: OBJECTIVE
  We evaluated a treatment strategy for acute myocardial infarction (AMI) that percutaneous coronary intervention (PCI) is performed on a culprit lesion unless the culprit is an unprotected left main trunk. Emergent coronary artery bypass grafting (CABG) is done when the culprit is a left main trunk and a mechanical complication exists.
  
  
  METHODS
  From 1997 to 2008, 22 and 232 patients underwent CABG for AMI and non-AMI, respectively. Of the 22 patients of AMI, PCI was performed in 12 patients and not performed in 10 patients before surgery. We investigated complication, intubation period, in-hospital mortality and hospitalization period.
  
  
  RESULTS
  No in-hospital mortality was observed in all 22 AMI patients. There was no difference in in-hospital mortality and complication between the AMI and the non-AMI patients. No significant difference was found in hospital stay, complication, intubation period, in-hospital mortality and hospitalization period between patients who received preceding PCI and not.
  
  
  CONCLUSIONS
  These results suggest that our treatment strategy is reasonable. Further studies will be warranted to clarify the role of preceding PCI.
authors.affiliation: Department of Cardiac Surgery and Cardiology, Cardiovascular Center, Shinonoi General Hospital, Nagano, Nagano, Japan. ttakano-ths@umin.ac.jp
authors.forename: Tamaki
authors.initials: T
authors.lastname: Takano
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Goto
authors.forename: Kazuo
authors.initials: K
authors.lastname: Hoshino
authors.forename: Hirohide
authors.initials: H
authors.lastname: Shimada
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ichinose
authors.forename: Norihiko
authors.initials: N
authors.lastname: Shinozaki
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation* / Q000401:mortality; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000401:mortality; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007442:Intubation, Intratracheal; D007564:Japan; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D018570:Risk Assessment; D012307:Risk Factors; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome