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DOI: 10.1055/s-2001-19008
© Georg Thieme Verlag Stuttgart · New York
Heart Rescue in Acute Left Main Coronary Artery Occlusion with CABG Using Initial Retrograde Perfusion
Publication History
Publication Date:
17 December 2001 (online)
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Acute occlusion of the left main coronary artery (LMCA) is a rare and almost invariably fatal condition. Here, we report on heart salvage in two such cases with CABG aided by emergent retrograde reperfusion as the initial operative step. Both cases were extremely unusual. The first patient had twice survived LMCA occlusion; the second also had right coronary artery occlusion. We will also review the literature on acute LMCA occlusion and coronary venous retroperfusion.
Key words:
Left main coronary artery occlusion - Myocardial ischemia - Coronary sinus - Myocardial protection - Coronary surgery
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Dr. Rolf Svedjeholm
Department of Cardiothoracic
Surgery Linköping Heart Center
University Hospital
SE-581 85 Linköping
Sweden
Phone: +46 13 22 20 00
Fax: +46 13 10 02 46
Email: Rolf.Svedjeholm@lio.se