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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1999 October;40(5):667-9

language: English

Right ven­tric­u­lar infarc­tion com­pli­cat­ing cor­o­nary ­artery bypass graft­ing

Shin H., Kumamoto T., Sumida T., Yozu R.

From the Department of Cardiovascular Surgery Shizuoka Red Cross Hospital, Shizuoka, Japan and Division of Cardiovascular Surgery Keio University School of Medicine, Tokyo, Japan


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Intraoperative ­right ven­tric­u­lar infarc­tion imme­di­ate­ly ­after cor­o­nary ­artery ­bypass graft­ing is a ­rare and poten­tial­ly seri­ous com­pli­ca­tion. We ­report a ­case in ­which an addi­tion­al cor­o­nary ­artery ­bypass ­graft to a ­right ven­tric­u­lar ­branch ­with 99% sten­o­sis ­brought ­about recov­ery ­from pro­found ­acute ­right ven­tric­u­lar fail­ure. This ­case ­shows ­that com­plete revas­cu­lar­iza­tion to all graft­able ves­sels, includ­ing ­even the ­right ven­tric­u­lar ­branch, is man­da­to­ry for suc­cess­ful cor­o­nary ­artery ­bypass graft­ing.

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