title: [Emergency coronary artery bypass grafting for acute myocardial infarction presenting as cardio-pulmonary arrest during a marathon race; report of a case].
abstract: We report a case of coronary artery bypass grafting for acute myocardial infarction which presented as cardio-pulmonary arrest during a marathon race. A 57-year-old man collapsed at the 18-km point in the Toyohashi half marathon. He was treated with an automated electrical defibrillator( AED) for ventricular fibrillation in an ambulance. Immediately after arriving at our emergency department, he was diagnosed with acute myocardial infarction by electrocardiography. Emergency coronary angiography revealed severe stenosis of the left anterior descending artery. Percutaneous coronary intervention was tried, but it was given up because calcification of the stenotic lesion was severe. He was then referred to our department for emergency coronary artery bypass grafting. Complete re-vascularization was accomplished and the patient has been doing well with no signs of angina.
authors.affiliation: Department of Cardiovascular Surgery, Toyohashi Medical Center, Toyohashi, Japan.
authors.forename: Yukio
authors.initials: Y
authors.lastname: Umeda
authors.forename: Matsuhisa
authors.initials: M
authors.lastname: Imaizumi
authors.forename: Waichiro
authors.initials: W
authors.lastname: Okada
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Yokoya
authors.forename: Tsuneo
authors.initials: T
authors.lastname: Tanaka
mesh_terms: D001026:Coronary Artery Bypass; D004630:Emergencies; D006323:Heart Arrest / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery*; D012420:Running