Why the study?
Does emergency aortocoronary saphenous vein bypass surgery prevent recurrent ventricular fibrillation in a patient with severe angina and left main coronary artery stenosis?
Does emergency aortocoronary saphenous vein bypass surgery prevent recurrent ventricular fibrillation in a patient with severe angina and left main coronary artery stenosis?
Emergency coronary bypass surgery successfully treated medically refractory recurrent ventricular fibrillation in a patient with severe left main coronary artery disease.
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May support emergency bypass for refractory VF with left main stenosis; leaves open confirmation in controlled studies.
Four episodes of ventricular fibrillation refractory to medical therapy occurred in a patient with increasingly severe angina pectoris. Coronary arteriography showed 90% stenosis of the left main coronary artery. After emergency aortocoronary saphenous vein bypass surgery, the patient had no further episodes and has felt well during a 17-month follow-up period. Such surgery should be considered in patients with coronary disease in whom life-threatening arrhythmias develop. (JAMA228:70-72, 1974)
Sidney Alexander (1974) studied this question.
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