Surgical results of emergent coronary artery bypass grafting
Oguma, F.; Kasuya, S.; Yamamoto, K.; Sogawa, M.; Tanaka, S.; Koshika, M.; Akashi, O.
Kyobu Geka. Japanese Journal of Thoracic Surgery 52(8 Suppl): 662-666
1999
ISSN/ISBN: 0021-5252 PMID: 10441958 Document Number: 511732
During a period of past five years, 57 patients underwent emergent coronary artery bypass grafting at our hospital. The reason for performing emergent CABG were unstable angina pectoris in 38 patients and acute myocardial infarction in 19 patients. Five patients died postoperatively. Mortality rate was higher in the patients with AMI (15.8%) than in the patients with UAP (5.3%). Among 19 patients after AMI, 7 patients were in cardiogenic shock preoperatively, and two of them died after operation. Though the surgical results for AMI with cardio-genic shock is discouraging, complete revascularization can be performed safely for the patients with UAP and uncomplicated AMI. It appears that optimal timing of the patients with left main shock syndrome should be guided by the relative presence of an element of ischemia or necrosis.