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Ann Thorac Surg 1996;62:877-878
© 1996 The Society of Thoracic Surgeons

Case Report

Emergency Bypass Without Bypass!

Vivek L. Pathi, FRCS, Paul S. Ramphal, MBBS, Geoffrey A. Berg, FRCS, Kenneth J. D. MacArthur, FRCS

Department of Cardiothoracic Surgery, Western Infirmary, Glasgow, Scotland

Accepted for publication March 27, 1996.

We present 2 cases of failed coronary angioplasty, with hemodynamic compromise, where emergency coronary artery bypass grafting was performed without cardiopulmonary bypass. The hypodynamic nature of the stunned myocardium in this circumstance allows this technique to be applied with relative ease to accessible vessels. As a consequence, reduced morbidity and hospital stay can be anticipated.




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