[Emergency coronary surgery (indications and immediate results)]

Area of Science:

• Cardiology
• Cardiac Surgery
• Emergency Medicine

Background:

• Acute coronary insufficiency and myocardial infarction pose significant risks.
• Medical management has limitations, especially in complicated cases.
• Advancements in surgical techniques and support systems are crucial.

Purpose of the Study:

• To evaluate the feasibility and outcomes of emergency surgery for acute coronary insufficiency.
• To compare surgical risks with purely medical treatment.
• To determine the role of surgery in impending and complicated myocardial infarction.

Main Methods:

• Surgical intervention for acute coronary insufficiency.
• Comparison of surgical versus medical treatment risks.
• Utilizing mechanical cardiac assist, such as intra-aortic balloon pumping.
• Performing coronary arteriography under stabilized conditions.

Main Results:

• Emergency surgery for acute coronary insufficiency is now feasible with good success.
• Surgery appears to improve the immediate prognosis for impending myocardial infarction.
• Surgical intervention is justified in complicated infarction where medical treatment risks are high.
• Mechanical cardiac assist enhances surgical conditions and safety.

Conclusions:

• Emergency surgery is a viable option for acute coronary insufficiency.
• The decision for surgery requires careful risk-benefit analysis against medical treatment.
• Mechanical cardiac assist significantly improves the safety and efficacy of emergency cardiac surgery.