Treatment of post-myocardial infarction angina by intra-aortic ballon pumping and emergency revascularization.
J Thorac Cardiovasc Surg
; 74(2): 299-306, 1977 Aug.
Article
em En
| MEDLINE
| ID: mdl-301968
ABSTRACT
Twenty-one patients with postinfarction angina (2 to 15 days after acute myocardial infarction) unresponsive to medical therapy were treated by intra-aortic balloon pumping (IABP). Anginal pain and electrocardiographic (ECG) ST-segment changes were prevented in all patients. Coronary angiograms were obtained during IABP without complication and confirmed severe coronary artery disease. Of the four nonoperated patients, three had reinfarction and two died of cardiogenic shock. Seventeen patients underwent aorta-coronary bypass grafting, associated with aneurysmectomy in two patients and closure of a ventricular septal defect in one. Sixteen patients survived the operation. All survivors are in clinically improved condition and 14 are pain free from 9 to 28 months postoperatively, but three have mild heart failure.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Circulação Assistida
/
Ponte de Artéria Coronária
/
Balão Intra-Aórtico
/
Angina Pectoris
/
Infarto do Miocárdio
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Thorac Cardiovasc Surg
Ano de publicação:
1977
Tipo de documento:
Article