[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
July 1972

Emergency Bypass Surgery in Impending and Complicated Acute Myocardial Infarction

Author Affiliations

Los Angeles
From the departments of thoracic, cardiac and vascular surgery, and cardiology, Cedars-Sinai Medical Center, Los Angeles.

Arch Surg. 1972;105(1):30-35. doi:10.1001/archsurg.1972.04180070028005
Abstract

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.

References
1.
Johnson WD, Lepley D Jr:  An aggressive surgical approach to coronary disease . J Thorac Cardiovasc Surg 59:128-135, 1970.
2.
Field P, Trimble AS, Trobridge CR, et al:  Direct myocardial revascularization: Saphenous vein bypass grafts to the distal coronary artery . Ann Thorac Surg 10:112-118, 1970.Article
3.
Scheidt S, Ascheim R, Killip T:  Shock after acute myocardial infarction: A clinical and hemodynamic profile . Amer J Cardiol 26:556-564, 1970.Article
4.
Swan HJC, Forrester JS, Danzig R, et al:  Power failure in acute myocardial infarction . Progr Cardiovasc Dis 12:568-600, 1970.Article
5.
Hill JD, Kerth WJ, Kelly JJ, et al:  Emergency aorto-coronary bypass for impending or extending myocardial infarction . Circulation 43( (suppl 1) ):105-110, 1970.
6.
Cohn LH, Fogarty TJ, Daily PO, et al:  Emergency coronary artery bypass . Surgery 10:821-829, 1971.
7.
Green D, Carlisle R, Grant C, et al:  Estimation of left ventricular volume by one plane cineangiography . Circulation 35:61-69, 1967.Article
8.
Chatterjee K, Sauoor M, Sutton GC, et al:  Assessment of left ventricular function by single plane angiographic volume analysis . Brit Heart J 33:565-571, 1971.Article
9.
Dodge HT, Sandler H, Ballow DW, et al:  The use of biplane angiocardiography for measurement of left ventricular volume in man . Amer Heart J 60:762-776, 1960.Article
10.
Klein MD, Herman M, Gorlin R:  A hemodynamic study of left ventricular aneurysm . Circulation 35:614-630, 1967.Article
11.
Parmley WW, Sonnenblick EH:  Reevaluation of Vmax as an index of contractile state: An analysis of different muscle models . Circulation 42:111-115, 1970.Article
12.
Yeatman LA Jr, Parmley WW, Sonnenblick EH:  Effects of temperature on series elasticity and contractile element motion in heart muscle . Amer J Physiol 217:1030-1034, 1969.
13.
Herman MV, Heinle RA, Klein MD, et al:  Localized disorders in myocardial contraction . New Eng J Med 277:222-232, 1967.Article
14.
Dwyer EM:  Left ventricular pressure-volume alterations and regional disorders of contraction during myocardial ischemia induced by atrial pacing . Circulation 42:1111-1122, 1970.Article
15.
Chatterjee K, Swan HJC, Parmley WW, et al: Depression of left ventricular function due to acute ischemia and its reversal following aorto-coronary saphenous vein bypass. New Eng J Med, to be published.
16.
Favaloro RG, Effler DB, Cheanvechai C, et al:  Acute coronary insufficiency (impending myocardial infarction and myocardial infarction): Surgical treatment by the saphenous vein graft technique . Amer J Cardiol 28:598-607, 1971.Article
17.
Pifarré R, Spinazzola A, Nemickas R, et al:  Emergency aortocoronary bypass for acute myocardial infarction . Arch Surg 103:525-528, 1971.Article
18.
Scanlon PJ, Nemicks R, Tobin JR Jr, et al:  Myocardial revascularization during acute phase of myocardial infarction . JAMA 218:207-212, 1971.Article
×