TITLE

Off-Pump Coronary Artery Bypass Is an Alternative to Conventional Cardiopulmonary Bypass When Repair of Traumatic Coronary Artery Injuries Is Indicated

AUTHOR(S)
Moore, Forrest O.; Berne, John D.; Turner, William F.; Villarreal, David H.; McGovern, Thomas; Rowe, Stephen A.; Norwood, Scott H.
PUB. DATE
March 2007
SOURCE
American Surgeon;Mar2007, Vol. 73 Issue 3, p296
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Coronary artery injuries after penetrating cardiac trauma are rare. The standard approach to these injuries has traditionally been coronary artery ligation. When cardiac perfusion is profoundly compromised, cardiopulmonary bypass has been used to facilitate revascularization, although with serious morbidity. We report a case of traumatic left anterior descending coronary artery transection repaired off-pump in a young stabbing victim. Penetrating traumatic cardiac injuries are highly lethal injuries. Cardiopulmonary bypass has been used for myocardial revascularization when cardiac perfusion is compromised, although with significant complications. Off-pump coronary artery bypass is a safe alternative in the traumatized patient.
ACCESSION #
24238272

 

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