Emergency coronary artery bypass grafts in the treatment of myocardial infarction.

摘要: Of the more than 1,900 patients undergoing coronary artery bypass procedures for disease, a selected group of 17 underwent emergency because tentative diagnosis acute myocardial infarction. Almost all had status angina prior to cardiac catheterization as was proven by electrocardiographic evidence and serum enzyme changes. When further verification obtained gross examination at surgery autopsy in who expired, most severe end stage disease manifested functional classification anatomical lesions. Cardiac done Because combination pre-existing angina, despite presence infarction three groups patients. Group I consisted with without hypotension but persistent chest pain clinical symptoms. II similar findings plus hypotension. III experienced actual arrest were resuscitated portable femoral arteriovenous cardiopulmonary bypass. In eight died, one six patients, two There late deaths months postoperatively. Operation face has been successfully employed