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Ann Thorac Surg 2006;82:1521-1523
© 2006 The Society of Thoracic Surgeons

Case Reports

Aortocoronary Shunting During Off-Pump Coronary Artery Bypass Surgery as Acute Reperfusion Strategy in ST-Elevation Myocardial Infarction

Parwis Massoudy, MDa,*, Matthias Thielmann, MDa, Andras Szabo, MDa, Ivan Aleksic, MDa, Eva Kottenberg-Assenmacher, MDb, Jenno Szolnoki, MDc, Heinz Jakob, MDa

a Department of Thoracic and Cardiovascular Surgery, West German Heart Center Essen, Essen, Germany
b Department of Anesthesiology and Intensive Care Medicine, University Hospital Essen, Essen, Germany
c Department of Cardiac Surgery, University Hospital Szeged, Szeged, Hungary

Accepted for publication February 2, 2006.

* Address correspondence to Dr Massoudy, West German Heart Center Essen, University Hospital, Department of Thoracic and Cardiovascular Surgery, Hufelandstr. 55, Essen, 45147 Germany (Email: parwis.massoudy{at}uni-essen.de).

We report the case of a 43-year-old patient with acute ST-segment elevation anterior myocardial infarction who underwent off-pump coronary artery bypass grafting. To reduce the duration of ongoing myocardial ischemia, acute reperfusion of the infarcted coronary artery was achieved using an aortocoronary shunt, thereby perfusing the occluded left anterior descending artery. Under the protection of the aortocoronary shunt, the left internal thoracic artery was harvested and was thereafter anastomosed to the left anterior descending artery. The patient had an uneventful postoperative recovery.






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