INTRODUCTION Acute myocardial infarction (AMI) may culminate in sudden death by ventricular fibrillation, cardiogenic shock, and cardiac rupture. We present a case of postinfarction rupture treated by direct closure and coronary artery bypass grafting after thrombolytic therapy. CASE REPORT A 67-year-old woman with cardiac risk factors of hypertension, diabetes mellitus, and being post-menopa...

We describe a surgical case of coronary-coronary bypass grafting using the saphenous vein for revascularization of the right coronary artery during concomitant graft replacement of the ascending aorta. This technique of coronary revascularization can be used as an alternative to avert the need for a prosthetic graft to coronary artery bypass grafting in cases with potential problems of anastomo...

Coronary artery disease is the single leading cause of death in the United States. Every year more than 1 million open coronary revascularization procedures are performed in the United States. Most commonly the greater saphenous veins and internal mammary and/or radial arteries are used as bypass conduits. Long term patency and avoiding repeat revascularization is every surgeon’s goal following...

OBJECTIVES With the increase in life expectancy occurred in recent decades, it has been noted the concomitant increase in the prevalence of aortic stenosis and degenerative disease of atherosclerotic coronary artery. This study aims to evaluate the influence of atherosclerotic coronary artery disease in patients with critical aortic stenosis undergoing isolated or combined implant valve prosthe...

OBJECTIVE Selected patients appear to benefit from off-pump coronary artery bypass compared with conventional coronary artery bypass with cardiopulmonary bypass. It is unknown whether elderly patients undergoing isolated coronary artery bypass grafting operations derive any benefit when performed off-pump. We hypothesized that off-pump coronary bypass offers a greater operative benefit to elder...

BACKGROUND Excessive myocardial necrosis following coronary artery bypass grafting is associated with adverse outcome. The present study was designed to assess the extent of myocardial injury after conventional coronary artery bypass grafting with cardio pulmonary bypass (ONCAB) compared with off-pump coronary artery bypass (OPCAB). METHODS Measurements of serum cardiac troponin T (TnT) were ...

To the Editor: An 82-year-old man was in relatively good health despite a background of hypertension, chronic kidney disease stage 4 (estimated glomerular filtration rate 15 30 ml/min) and extensive vascular disease requiring carotid endartectomy, coronary artery bypass grafting, repair of an abdominal aortic aneurysm, and stenting of both renal arteries. In May 2005 he developed rapid atrial f...

INTRODUCTION The shortage of donor hearts for transplantation could be alleviated by including the hearts of older donors. Previous literature revealed similar early and medium-term survival outcomes compared with those of younger donors. This study presents our experience with patients who underwent orthotopic heart transplantation and concomitant coronary artery bypass grafting at our institu...

BACKGROUND The rupture of the anterolateral papillary muscle is less common than the posteromedial papillary muscle since the anterolateral muscle has dual blood supplies, while the posteromedial papillary muscle has a single blood supply. CASE PRESENTATION We present a case report of a 42 year old male presenting with heart failure being diagnosed to have mitral regurgitation from the partia...