scholarly journals I-1-11 Assessment of coronary sinus blood flow and myocardial oxygen consumption following coronary artery bypass grafting

1981 ◽  
Vol 11 (1) ◽  
pp. 38-41
Author(s):  
K. Kawachi
2014 ◽  
Vol 37 (5) ◽  
pp. 382-391 ◽  
Author(s):  
Jessica Forcillo ◽  
Nicolas Noiseux ◽  
Marc-Jacques Dubois ◽  
Samer Mansour ◽  
Ignacio Prieto ◽  
...  

2004 ◽  
Vol 93 (7) ◽  
pp. 923-925 ◽  
Author(s):  
Daniel Wing Chong Ng ◽  
Konstantinos Vlachonassios ◽  
Anoshie R. Nimalasuriya ◽  
Vu T. Nguyen ◽  
Charmi Wijesekera ◽  
...  

2020 ◽  
Vol 7 (4) ◽  
pp. 1071
Author(s):  
Venugopal Ramarao ◽  
Chandana N. C. ◽  
Sunil P. K.

Background: In acute coronary syndrome, prompt restoration of myocardial blood flow is essential to optimize myocardial salvage and decrease mortality. Coronary artery reperfusion, if performed in a timely manner improves clinical outcomes compared to no reperfusion. Fibrinolysis and percutaneous interventions can restore blood flow in an acutely occluded coronary artery in most of the patients; but in a few subset of patients coronary artery bypass grafting (CABG) is needed to effectively restore blood flow.Methods: A retrospective study was conducted among all CABGs performed during March 2016 - February 2018. During this period, 366 CABGs were performed and 57 patients underwent emergency CABG as per the inclusion criterias. Pre-operative, intra-operative and post-operative data was analysed of these patients. Patients were divided into four groups based on the time of surgery from the time of onset of myocardial infarction.  Results: 57 patients underwent emergency CABG with males constituting 94.7% of the study population. 78.9% of them had an ejection fraction less than 35%. 52% presented with low cardiac output status, 10% needed intra-aortic balloon pump support and 15% required mechanical ventilation prior to surgery. All patients received an average of 2.8 grafts. Mortality was 5%Conclusions: Immediate surgical revascularisation of patients presenting with acute MI is feasible. Emergency CABG not only treats the culprit lesion but also achieves complete revascularization and offers a clear advantage for patients. The optimal timing of CABG for patients with acute MI remains difficult to establish.


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