Department of Thoracic Surgery, Cedars-Sinai Heart Institute, Los Angeles, California 90048, USA.
Ann Thorac Surg. 2013 Jan;95(1):365-72. doi: 10.1016/j.athoracsur.2012.07.018. Epub 2012 Nov 29.
The timing of surgical coronary artery revascularization after an acute myocardial infarction is not well defined. The inherent difficulties of mobilizing a surgical team at odd hours has led to the adoption of a percutaneous coronary intervention strategy when possible or a clot-busting drug regimen when percutaneous coronary intervention is not available. Despite the difficulties and risks of surgical revascularization, there are situations where it may be indicated. We conducted a review of the literature to better understand the timing, scope, and risks of surgical coronary revascularization after an acute myocardial infarction.
急性心肌梗死后进行冠状动脉旁路移植术的时机尚未明确。由于在非正常工作时间调动外科手术团队存在固有困难，因此在可行的情况下采用经皮冠状动脉介入治疗策略，而在无法进行经皮冠状动脉介入治疗时采用溶栓药物治疗方案。尽管外科血运重建存在困难和风险，但在某些情况下可能需要进行手术。我们对文献进行了回顾，以更好地了解急性心肌梗死后进行冠状动脉旁路移植术的时机、范围和风险。
