Coronary Bypass for Relief of Persistent Pain Following Acute Myocardial Infarction

摘要: Between January, 1976, and April, 1980, 116 patients had urgent myocardial revascularization for clinical instability within 30 days of acute infarction (MI). Group 1 (8 patients) coronary bypass grafting 24 hours MI; 2 (20 to 7 after 3 (88 8 infarction. Indications operation were persistent or recurrent pain (81%), plus ventricular arrhythmias (12%), compelling anatomy. The incidence single-vessel, triple-vessel, left main artery disease was 28%, 31%, 12%, respectively. There no hospital deaths in the series. inotropic requirements, postoperative intraaortic balloon pumping, arrhythmias, perioperative higher operated on MI than having this time. have been 5 late during a mean follow-up 14 months. Actuarial survival 97% at 18 Seventy-one percent are presently free. Graft patency 84% 17 recatheterized patients, grafts placed into area patent. This study suggests that frequency complications will be increased one week MI, but period, can accomplished with same morbidity as elective operation.