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Titolo:
Surgical revascularization for acute total occlusion of left main coronaryartery
Autore:
Hsu, RB; Chien, CY; Wang, SS; Chu, SH;
Indirizzi:
Natl Taiwan Univ Hosp, Dept Surg, Taipei 100, Taiwan Natl Taiwan Univ Hosp Taipei Taiwan 100 p, Dept Surg, Taipei 100, Taiwan
Titolo Testata:
TEXAS HEART INSTITUTE JOURNAL
fascicolo: 3, volume: 27, anno: 2000,
pagine: 299 - 301
SICI:
0730-2347(2000)27:3<299:SRFATO>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; CARDIOGENIC-SHOCK;
Keywords:
angioplasty, transluminal, percutaneous; coronary; arterial occlusive diseases/therapy; collateral circulation; coronary artery bypass; coronary disease/complications; myocardial infarction/therapy; shock, cardiogenic/therapy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Chu, SH Natl Taiwan Univ Hosp, Dept Surg, No 7 Chung Shan S Rd, Taipei 100, Taiwan Natl Taiwan Univ Hosp No 7 Chung Shan S Rd Taipei Taiwan 100 iwan
Citazione:
R.B. Hsu et al., "Surgical revascularization for acute total occlusion of left main coronaryartery", TEX HEART I, 27(3), 2000, pp. 299-301

Abstract

We report our experience with emergency surgical revascularization in 3 patients who were in cardiogenic: shock as a result of acute total occlusion of the left main coronary artery. Because they were in profound shock, 2 patients required mechanical support with extracorporeal membrane oxygenationbefore the operation. Another patient was given moderate inotropic supportand treated with an intraaortic balloon pump before surgery, because he had a dominant right coronary artery with extensive collateral circulation tothe left coronary artery. All 3 patients underwent surgical revascularization within 20 hours of acute occlusion. Two patients survived, although 1 of them required extracorporeal membrane oxygenation support for 5 days postoperatively. The 3rd patient, despite successful weaning from extracorporeal membrane oxygenation immediately after coronary revascularization, died of hypoxic encephalopathy due to prolonged preoperative resuscitation. Immediate surgical revascularization was an effective treatment in our 3 patients who were in cardiogenic shock due to acute total occlusion of the left main coronary artery. Such factors as abundant collateral vessels from the right coronary artery to the left coronary artery, complete surgical revascularization within 20 hours of acute occlusion, and mechanical circulatory support were deemed important to recovery of left ventricular function. Two of our 3 patients survived.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 20:44:21