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Ann Thorac Surg 1980;30:564-568
© 1980 The Society of Thoracic Surgeons
From the Departments of Surgery and Medicine, Loyola University Medical Center, Maywood, and the Cardiopulmonary Surgical Section, Veterans Administration Hospital, Hines, IL
Accepted for publication February 28, 1980.
* Address reprint requests to Dr. Pifarré, 2160 S First Ave, Maywood, IL 60153
The successful use of Fogarty catheter embolectomy combined with aortocoronary vein bypass graft in 4 patients with an acute myocardial infarction is presented. Three patients sustained acute occlusion of the coronary artery secondary to an embolus during cardiac catheterization. In the fourth patient, the left anterior descending coronary artery was occluded with a fragment of calcium debris during aortic valve replacement. All patients survived the operation.
Acute occlusion of the coronary artery secondary to an embolus is uncommon, but its early recognition and appropriate surgical management may be lifesaving.
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