Yamamoto K, Imoto K, Hirano K, Sugiyama M, Kondo J, Matsumoto A
First Department of Surgery, Yokohama City University School of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Aug;41(8):1420-5.
A successful case of emergency coronary artery bypass grafting for a 62-year-old man with cardiopulmonary arrest due to acute myocardial infarction was reported. He developed cardiopulmonary arrest 4 minutes before arrival at Critical care and Emergency Department of our hospital. The ECG of the patient showed ventricular fibrillation. He was resuscitated successfully 26 minutes after cardiopulmonary arrest. Emergency coronary angiography revealed that LAD just proximal was totally occluded and LCx just proximal was 90% stenosed. As he was still in the state of shock after resuscitation, emergency CABG was performed to LAD and LCx using saphenous vein grafts. The post operative course was uneventful. The patient has resumed a normal and active life-style as a deput principal of a high school one year after operation.
报道了一例62岁因急性心肌梗死导致心肺骤停的男性患者成功进行急诊冠状动脉旁路移植术的病例。他在到达我院重症监护和急诊科前4分钟发生心肺骤停。患者心电图显示心室颤动。心肺骤停26分钟后成功复苏。急诊冠状动脉造影显示，左前降支近端完全闭塞，左旋支近端狭窄90%。由于复苏后仍处于休克状态，遂使用大隐静脉移植物对左前降支和左旋支进行急诊冠状动脉旁路移植术。术后过程顺利。术后一年，患者已恢复正常且积极的生活方式，担任一所高中的副校长。
