Zhang HuaiJun , Hu ChengShou , Song YunHu , et al .
  • 1. Department of cardiac surgery , Cardiovascular institute and fuwai hospital , Chinese academy of medical sciences ＆peking union medical college , Beijin 100037, P. R. China ;;
  • 2. Center of coronary artery intervention , Cardiovascular institute and fuwai hospital , Beijing 100037, P.R.China .;
Percutaneous coronary intervention; Emergency surgery; Coronary artery bypass grafting
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Objective To summarize the experience of emergency coronary artery bypass grafting （CABG） after failed percutaneous coronary intervention. Methods From January 1998 to December 2002, 9 patients underwent emergency CABG after failed percutaneous coronary intervention. The indications of emergency CABG were coronary artery dissection （5 cases）or perforation （2 cases） and acute arterial occlusion （2 cases）. The time averaged 2 hours from onset of ischernia to revascularization. The CABG was performed under off-pump bypass in 3 cases and under CPB in 6 cases. The mean graft number was 3. Results There were no hospital death. The mean follow-up was 17 months. No death and angina occurred. The function of New York Heart Association class Ⅰ-Ⅱ were in 8 patients, class Ⅲ in 1 patient. Conclusion Emergency CABG is an effective management for failed percutaneous coronary intervention if the indication is right.

Citation： Zhang HuaiJun,Hu ChengShou,Song YunHu,et al .. Emergency Coronary Artery Bypass Grafting after Failed Percutaneous Coronary Intervention. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2005, 12(4): 256-257. doi: Copy