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  • Title: [Emergent coronary artery bypass grafting in a survivor of out-of-hospital cardiac arrest].
    Author: Matsumoto M, Suehiro K, Kubo H, Morimoto N, Shiraishi K, Kasai S, Hagioka S, Naito H, Nagae M.
    Journal: Kyobu Geka; 2007 Feb; 60(2):97-101. PubMed ID: 17305073.
    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.
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