Key result
Emergency off-pump coronary artery bypass with rapid aorto-coronary perfusion successfully treated left main occlusion in extremis, allowing discharge on day 6 with normal ventricular function.
Emergency OPCAB with rapid aorto-coronary perfusion can be a successful life-saving strategy for acute left main coronary occlusion.
May offer a rescue strategy for acute left main occlusion; leaves open reproducibility and safety in prospective series.
64 year old female with occluded left main after first injection brought to the operating room in extremis on IABP and maximum inotropes. LAD grafted with sapenous vein and immediate aorto-coronary perfusion. Circumflex grafted and patient taken to ICU. Patient discharged on POD #6 after echo shows normal ventricular with no wall motion abnormality.
No takes yet. Share an insight, caveat, or question.
Kerr et al. (2002) studied this question. Emergency off-pump coronary artery bypass with rapid aorto-coronary perfusion successfully treated left main occlusion in extremis, allowing discharge on day 6 with normal ventricular function.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: