Emergent coronary artery bypass grafting in a survivor of out-of-hospital cardiac arrest

M. Matsumoto, K. Suehiro, H. Kubo, N. Morimoto, K. Shiraishi, S. Kasai, S. Hagioka, H. Naito, M. Nagae

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1 Citation (Scopus)

Abstract

We report a case of emergent coronary artery bypass grafting (CABG) in a survivor of an out-of-hospital cardiac arrest. A 64-year-old male driver lost consciousness and collapsed in a rice paddy field. A bystander placed him in a car and immediately started cardiopulmonary resuscitation after confirming the presence of pulselessness and apnea. Emergency medical service providers performed a defibrillation of ventricular fibrillation by using an automated external defibrillator (AED), and the patient was transferred to the critical care center in our hospital. Coronary angiography revealed a thrombus in the left main trunk (LMT), total occlusion of the left anterior descending artery (LAD) and the right coronary artery (RCA), and 90% stenosis of the left circumflex artery (Cx). Since the patient recovered consciousness 1 hour after admission and did not undergo any critical trauma, an on-pump CABG was performed for 3 vessels. He was discharged on the postoperative day 23, and he resumed a normal life.

Original languageEnglish
Pages (from-to)97-101
Number of pages5
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume60
Issue number2
Publication statusPublished - Feb 2007
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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    Matsumoto, M., Suehiro, K., Kubo, H., Morimoto, N., Shiraishi, K., Kasai, S., Hagioka, S., Naito, H., & Nagae, M. (2007). Emergent coronary artery bypass grafting in a survivor of out-of-hospital cardiac arrest. Kyobu geka. The Japanese journal of thoracic surgery, 60(2), 97-101.