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Ann Thorac Surg 1981;32:609-612
© 1981 The Society of Thoracic Surgeons

Articles

Emergency Coronary Revascularization in the Early Postoperative Coronary Artery Bypass Patient

Patricio A. Ilabaca, M.D.*, Thomas N. Stern, M.D., G. Phillip Schoettle, Jr., M.D., H. Edward Garrett, M.D.

From the Section of Thoracic and Cardiovascular Surgery, University of Tennessee Center for the Health Sciences, and Baptist Memorial Hospital, Memphis, TN

Accepted for publication December 10, 1980.

* Address reprint requests to Dr. Ilabaca, Section of Thoracic and Cardiovascular Surgery, University of Tennessee, 956 Court Ave, Memphis, TN 38163

A patient underwent myocardial revascularization for acute ischemia following early postoperative graft closure and ventricular fibrillation. Extensive myocardial infarction was prevented by electrocardiographic and enzyme criteria. The time lapse between onset of the ischemic episode and revascularization is critical. Our knowledge of the patient's coronary anatomy obviated the need for angiography; the graft occlusion was diagnosed by electrocardiogram.






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