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Ann Thorac Surg 1987;43:218-219
© 1987 The Society of Thoracic Surgeons

Articles

Atheroembolic Perioperative Infarction during Repeat Coronary Bypass Surgery: Angiographic Documentation in a Survivor

Gerald M. FitzGibbon, L.R.C.P.(I), L.R.C.S.(I)*, Wilbert J. Keon, M.D.

From the Cardio-Pulmonary Unit, National Defence Medical Centre and the Department of Surgery, University of Ottawa Heart Institute, Ottawa, Ont, Canada

Accepted for publication March 10, 1986.

* Address reprint requests to Dr. FitzGibbon, Cardio-Pulmonary Unit, National Defence Medical Centre, Ottawa, Ont, Canada K1A 0K6

We report the case of a patient in whom a myocardial infarction complicated a coronary bypass reoperation. We believe the infarction was associated with embolic occlusion of a large coronary branch by atheroma, which we demonstrated in a previous bypass graft preoperatively and did not see in the postoperative study. We are not aware that atheroembolism of a large coronary branch has been reported before in a survivor of reoperation.




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