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Emergency bypass without bypass!
V L Pathi1, P S Ramphal, G A Berg
1Department of Cardiothoracic Surgery, Western Infirmary, Glasgow, Scotland.
Insights
Emergency coronary artery bypass grafting without cardiopulmonary bypass is a viable option for patients with failed coronary angioplasty and hemodynamic compromise. This technique offers reduced morbidity and hospital stay for stunned myocardium.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
Background:
- Coronary angioplasty failure can lead to hemodynamic compromise.
- Emergency surgical intervention is sometimes required.
Abstract:
We present 2 cases of failed coronary angioplasty, with hemodynamic compromise, where emergency coronary artery bypass grafting was performed without cardiopulmonary bypass. The hypodynamic nature of the stunned myocardium in this circumstance allows this technique to be applied with relative ease to accessible vessels. As a consequence, reduced morbidity and hospital stay can be anticipated.