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Rapid Diagnosis and Management of Intraoperative Myocardial Infarction During Valvular Surgery: Using Intraoperative Transesophageal Echocardiography Followed by Emergency Coronary Artery Bypass Grafting Without Coronary Angiography
Author(s) -
Nakajima Hiroyoshi,
Ikari Yuji,
Kigawa Ikutaro,
Kitamura Tadashi,
Hatori Mitsuharu,
Tooda Eiichi,
Tanabe Kengo,
Miyairi Takeshi,
Hara Kazuhiro
Publication year - 2005
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2005.00111.x
Subject(s) - medicine , myocardial infarction , cardiology , angiography , artery , radiology , coronary artery bypass surgery
A 68‐year‐old man was admitted to undergo elective mitral valve surgery. Although the preoperative coronary angiography was normal, the patient suffered a myocardial infarction that resulted in untreatable collapsed hemodynamics. After inferring the responsible occluded coronary artery from the segmental wall motion abnormality detected in intraoperative transesophageal echocardiography, together with the anatomy found in preoperative coronary angiography, we performed an emergency coronary artery bypass graft surgery without a new angiography. This procedure resulted in survival of a potentially life‐threatening situation. In selected cases, this therapeutic strategy may lead to reduction of mortality as a result of the intraoperative myocardial infarction. (ECHOCARDIOGRAPHY, Volume 22, November 2005)