• J. Cardiothorac. Vasc. Anesth. · Jul 2021

    Review

    Coronary Artery Bypass Grafting in Cardiogenic Shock: Decision-Making, Management Options, and Outcomes.

    • Michael Ibrahim, Audrey E Spelde, Jacob T Gutsche, Marisa Cevasco, Christian A Bermudez, Nimesh D Desai, Wilson Y Szeto, Pavan Atluri, Michael A Acker, and Matthew L Williams.
    • Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA. Electronic address: Michael.ibrahim@uphs.upenn.edu.
    • J. Cardiothorac. Vasc. Anesth. 2021 Jul 1; 35 (7): 2144-2154.

    AbstractCoronary artery bypass grafting is a highly efficacious mode of myocardial revascularization that reduces mortality from ischemic heart disease. The patient presenting after acute myocardial infarction in cardiogenic shock presents a unique challenge. Early revascularization is proven to reduce mortality, but many questions remain, including the optimal mode and extent of revascularization, the role of mechanical circulatory support, and which patients are candidates for surgical intervention. Unprecedented attention to the outcomes of cardiac surgery means decisions about the management of the acute myocardial infarction in cardiogenic shock patients are influenced by risk aversion. The authors here review this topic to arm the reader with a comprehensive understanding of the literature to better guide surgical decision-making and perioperative management.Copyright © 2020. Published by Elsevier Inc.

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