• M Matsumoto, K Suehiro, H Kubo, N Morimoto, K Shiraishi, S Kasai, S Hagioka, H Naito, and M Nagae.
• Department of Cardiovascular Surgery, Tsuyama Chuo Hospital, Tsuyama, Japan.
• Kyobu Geka. 2007 Feb 1; 60 (2): 97-101.

AbstractWe 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.

13 keywords...

hide…