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[Emergency coronary artery bypass grafting under cardiopulmonary resuscitation: a successful case report]

G Watanabe1, T Misaki, K Kotoh

  • 1First Department of Surgery, Toyama Medical and Pharmaceutical University, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|June 1, 1996
PubMed

Insights

This case report details successful emergency coronary artery bypass grafting in a 69-year-old man experiencing cardiac arrest from myocardial infarction. Prompt surgical intervention achieved positive outcomes despite critical preoperative resuscitation needs.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Emergency Medicine

Background:

  • Myocardial infarction can lead to refractory cardiac arrest, a life-threatening emergency.
  • Emergency coronary artery bypass grafting (CABG) is a complex procedure with significant risks.
  • Successful outcomes in such critical cases depend on rapid diagnosis and intervention.

Observation:

  • A 69-year-old male presented with refractory cardiac arrest due to impending myocardial infarction.
  • Preoperative full resuscitation, including external cardiac massage, was administered.

Findings:

  • The patient underwent emergency coronary artery bypass grafting (CABG).
  • Cardiopulmonary bypass was established 24 minutes after cardiac arrest.
  • Aortic cross-clamping time was 29 minutes for triple bypass grafting.

Implications:

  • Successful emergency CABG can be a viable treatment option for selected patients with cardiac arrest and myocardial infarction.
  • Rapid surgical intervention and cardiopulmonary bypass are critical for favorable outcomes in such critical cases.

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