Emergency bypass surgery in impending and complicated acute myocardial infarction.
Emergency bypass surgery in impending and complicated acute myocardial infarction.
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即将发生和复杂的急性心肌梗死的紧急搭桥手术。
DOI：
10.1001/archsurg.1972.04180070028005
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发表时间：
1972
影响因子：
--
通讯作者：
J. Fields
中科院分区：
文献类型：
--
作者：
H. Sustaita;K. Chatterjee;J. Matloff;A. Marty;H. Swan;J. Fields
急诊冠状静脉搭桥术20例：11例为即将发生的梗死，2例为即将发生的梗死和心源性休克，3例为急性梗死和持续心绞痛，4例为急性梗死和心源性休克。19例存活，并经历了显着的临床改善。12例患者术后进行了左心功能评价。在8例即将发生梗死的患者中，6例术前射血分数、节段性室壁运动和收缩力值降低，术后有很大改善。2例急性心肌梗死合并心源性休克患者术后左心功能正常，2例急性心肌梗死合并心源性休克患者术后左心功能低于正常。
Emergency aorto-coronary vein bypass was performed in 20 patients: 11 with impending infarction, two with impending infarction and cardiogenic shock, three with acute infarction and continued angina, and four with acute infarction and cardiogenic shock. Nineteen survived and experienced marked clinical improvement. Left ventricular function was evaluated postoperatively in 12 patients. In six of eight patients with impending infarction, and reduced preoperative values for ejection fraction, segmental wall motion, and contractility, there was great improvement postoperatively. Two patients with impending infarction and cardiogenic shock showed normal left ventricular function postoperatively, but two with acute infarction and cardiogenic shock were left with subnormal left ventricular function.