[Coronary Artery Bypass Grafting to the Left Anterior Descending Artery via Anterior Minithoracotomy after Surgery for Acute Papillary Muscle Rupture;Report of a Case].
Kyobu Geka
; 72(13): 1081-1084, 2019 Dec.
Article
em Ja
| MEDLINE
| ID: mdl-31879384
ABSTRACT
We presented a case with chronic occlusion of the left anterior descending artery(LAD) after mitral valve replacement (MVR). An 80-year-old man was transferred to our hospital with a diagnosis of acute myocardial infarction. Before coronary angiography, the patient suddenly fell in a state of cardiogenic shock. Echocardiography revealed acute mitral regurgitation due to anterior papillary muscle rupture. Although emergency MVR was performed, introduction of percutaneous cardiopulmonary support (PCPS) and intraaortic balloon pumping ( IABP) was needed to come off cardiopulmonary bypass. Postoperative coronary angiography revealed chronic occlusion of LAD. The left internal thoracic artery was anastomosed to LAD via anterior minithracotomy to avoid median re-sternotomy. The postoperative course was uneventful and the cardiac function improved.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ruptura Cardíaca
/
Insuficiência da Valva Mitral
Limite:
Aged80
/
Humans
/
Male
Idioma:
Ja
Revista:
Kyobu Geka
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Japão