J.Jpn. Surg. Soc.. 78(1): 13-24, 1977

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Original article

THREE CASES OF SUCCESSFUL EMERGENCY AORTA TO CORONARY BYPASS GRAFTING FOR EVOLVING ACUTE MYOCARDIAL INFARCTION

Three cases of successful single or double aorta to coronary artery bypass grafting for evolving acute myocardial infarction associated with left ventricular power failure were described. All three patients sustained heart attack outside the hospital, who were brought to the Sapporo Medical University by ambulance, where emergency coronary arteriography and possible surgery were already set-up, therefore, emregency revascularization to the infarcted areas were able to be carried out within 6 hours after the onset of acute myocardial infarction.
Postoperative course of the first and second patients relatively uneventful, however, an anteroapical transmural infarction has developed in the third patient who had a subendcardial infarction demonstrated at the emergency left ventriculogram before emergency bypass grafting to the left anterior descending artery. There was a stomy postoperative course complicated with an intractable cardiac fa lure and a recurrent attach of ventricular tachycardia which went into ventricular fibrillation many times in the early postoperative period.

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