CASE REPORTS  CARDIAC PAPERS 

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

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

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

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.