ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Frank W. Sellke
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Dauerman, H. L.
Right arrow Articles by Sellke, F. W.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Dauerman, H. L.
Right arrow Articles by Sellke, F. W.

Ann Thorac Surg 1996;62:280-283
© 1996 The Society of Thoracic Surgeons

Case Report

Intracoronary Thrombolysis in the Treatment of Graft Closure Immediately After CABG

Harold L. Dauerman, MD, Donald E. Cutlip, MD, Frank W. Sellke, MD

Cardiovascular Division, Department of Medicine, and Division of Cardiothoracic Surgery, Department of Surgery, Beth Israel Hospital and Harvard Medical School, Boston, Massachusetts

Accepted for publication January 30, 1996.

A patient with a hypercoagulable state underwent coronary artery bypass grafting and was recovering uneventfully until diffuse electrocardiographic changes and cardiogenic shock developed within hours of the operation. Because of severe hemodynamic compromise on high-dose inotropic drugs and intraaortic balloon pump support, she was taken to the catheterization laboratory, where the patient was discovered to have thrombotic occlusion of all grafts, including the left internal mammary artery to the left anterior descending artery. Multiple graft percutaneous transluminal coronary angioplasty and thrombolysis with urokinase successfully opened the grafts, without bleeding complication. Anastomoses were all free of significant anatomic lesion. She has remained free of cardiac symptoms for 3.5 years after operation.




This article has been cited by other articles:


Home page
 Eur. J. Cardiothorac. Surg.Home page
M. Thielmann, P. Massoudy, B. R. Jaeger, M. Neuhauser, G. Marggraf, S. Sack, R. Erbel, and H. Jakob
Emergency re-revascularization with percutaneous coronary intervention, reoperation, or conservative treatment in patients with acute perioperative graft failure following coronary artery bypass surgery.
Eur. J. Cardiothorac. Surg., July 1, 2006; 30(1): 117 - 125.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
R. N. Piana, M. R. Adams, J. L. Orford, J. J. Popma, D. H. Adams, and S. Z. Goldhaber
Rescue Percutaneous Coronary Intervention Immediately Following Coronary Artery Bypass Grafting
Chest, October 1, 2001; 120(4): 1417 - 1420.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. E. Saltman, W. H. Dzik, and S. Levitsky
Immediate vein graft thrombectomy for acute occlusion after coronary artery bypass grafting
Ann. Thorac. Surg., June 1, 1999; 67(6): 1775 - 1776.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1996 by The Society of Thoracic Surgeons.