Bical O, Gaillard D, Fischer M, Foiret J C, Robinault J, Comas J, Vanetti A, Barraud C, Detoni L
Service de Chirurgie Thoracique et Cardiovasculaire, Hôpital Saint-Joseph, Paris.
Ann Chir. 1991;45(2):113-6.
From January 1986 to December 1988, 244 patients had a coronary artery revascularization at St Joseph Hospital. Four patients (1.8%) died in post operative time (less than 30 days). None died directly from cardiogenic shock. Five patients had a severe low cardiac output (2 h to 48 h post-op) and needed cardiac resuscitation. These patients were immediately taken to the operating room. The coronary bypasses were explored (2 technical errors corrected), the metabolic disorders were treated and a coronary reperfusion was done with the Buckberg's technique. All the patients could be weaned from cardiopulmonary bypass, two with intra aortic balloon pumping. One patient died of digestive complication the 10th postoperative day. The four other patients survived and are in good clinical condition. The severe low cardiac output after coronary revascularization can be reversible with resuscitation in operating room, short assistance, and coronary reperfusion.
1986年1月至1988年12月期间，244例患者在圣约瑟夫医院接受了冠状动脉血运重建术。4例患者（1.8%）在术后（少于30天）死亡。无一例直接死于心源性休克。5例患者术后2小时至48小时出现严重低心输出量，需要进行心脏复苏。这些患者立即被送往手术室。探查冠状动脉搭桥术（纠正了2处技术失误），治疗代谢紊乱，并采用巴克伯格技术进行冠状动脉再灌注。所有患者均成功脱离体外循环，其中2例使用主动脉内球囊反搏。1例患者在术后第10天死于消化系统并发症。其他4例患者存活，临床状况良好。冠状动脉血运重建术后的严重低心输出量通过在手术室进行复苏、短期辅助和冠状动脉再灌注可能是可逆的。
