Missing grafts and the potential for inappropriate revascularization
| Autor: | Mohamed Morsy, Rami N. Khouzam, Oluwaseyi Bolorunduro, Yaser Cheema |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_treatment Myocardial Infarction Bypass grafts 030204 cardiovascular system & hematology Revascularization Coronary Angiography 03 medical and health sciences 0302 clinical medicine Postoperative Complications Internal medicine Medicine Humans 030212 general & internal medicine Myocardial infarction Coronary Artery Bypass General Environmental Science Aged business.industry Coronary anatomy Middle Aged medicine.disease Surgery medicine.anatomical_structure lcsh:RC666-701 Cardiology General Earth and Planetary Sciences Female Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Revista Portuguesa de Cardiologia, Vol 36, Iss 9, Pp 671.e1-671.e4 (2017) Revista Portuguesa de Cardiologia (English Edition), Vol 36, Iss 9, Pp 671.e1-671.e4 (2017) |
| ISSN: | 2174-2030 |
| Popis: | The best outcome for coronary intervention in coronary artery bypass graft patients requires knowledge of prior coronary anatomy. This information is not always available as many cases present acutely, especially in ST-elevation myocardial infarction. We present three cases in which bypass grafts were documented as occluded but follow-up angiograms for other reasons revealed that the grafts were still patent. This presents the potential for inappropriate revascularizations. Resumo: O melhor resultado da intervenção coronária nos doentes submetidos a cirurgia de revascularização do miocárdio requer conhecimento da anatomia coronária anterior. Tal informação nem sempre está disponível, uma vez que muitos casos apresentam-se agudos, em particular nos enfartes do miocárdio com elevação do segmento ST. Apresentamos três casos em que foram referidos enxertos ocluídos, mas os angiogramas de seguimento, por outros motivos, revelaram que os enxertos ainda estavam patentes. Tal comprova o potencial de revascularizações inapropriadas. Keywords: Myocardial infarction, Missed grafts, Coronary artery bypass graft, Palavras-chave: Enfarte do miocárdio, Falta de enxertos, Cirurgia de revascularização do miocárdio |
| Databáze: | OpenAIRE |
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