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Christopher Munsch
Kenneth Taylor
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Ann Thorac Surg 1991;52:1320-1321
© 1991 The Society of Thoracic Surgeons

Articles

Aprotinin used in emergency coronary operation after streptokinase treatment

Theodore Efstratiadis, MD, PhD, Christopher Munsch, ChM, FRCS, David Crossman, MB, MRCP, Kenneth Taylor, MD, FRCS*

Departments of Cardiothoracic Surgery and Cardiology, Hammersmith Hospital, London, England

Accepted for publication May 21, 1991.

* Address reprint requests to Dr Taylor, Department of Cardiothoracic Surgery, Hammersmith Hospital, Du Cane Rd, London W12 OHS England.

We describe a patient with evolving myocardial infarction who underwent emergency intracoronary thrombolysis followed by immediate coronary artery grafting. Aprotinin was administered intraoperatively to control the potential bleeding problems associated with thrombolysis. Total postoperative blood loss was 260 mL. The case illustrates a further use for aprotinin in cardiac operations when excessive bleeding is anticipated.




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