the acute coronary syndrome due to the left main coronary artery (lmca) thrombosis is a clinically rare and catastrophic event.   we describe a young man ( smoker, alcoholic, and drug abuser) with a history of recent surgery and typical chest pain who had non-occlusive lmca thrombosis in coronary angiography. the thrombosis was successfully treated with two 180 µ/kg intracoronary boluses of ept...

The Coronary Artery Surgery Study (CASS) randomized 780 patients to an initial strategy of coronary surgery or medical therapy. Of medically randomized patients, 6% had surgery within 6 months and a total of 40%o had surgery by 10 years. At 10 years, there was no difference in cumulative survival (medical, 79%, vs. surgical, 82%; NS) and no difference in percentage free of death and nonfatal my...

OBJECTIVES To review the evolution of off-pump coronary artery bypass surgery with particular reference to the anaesthetic and perioperative implications. FINDINGS After review of the literature regarding coronary artery bypass grafting, the adverse effects of cardiopulmonary bypass on the various systems are discussed The development and the present status of off-pump coronary artery bypass ...

Introduction: Mitral valve insufficiency in adults is often a complication of ischemic heart disease. Coronary artery bypass grafting (CABG) is performed as a strategy for the treatment of coronary artery disease. The aim of this study was to evaluate mitral regurgitation (MR) before and after CABG. Materials and Methods: This Experimental study was condu...

conclusions in cabg with cardiopulmonary bypass, using plasma cortisol level as a measure, isoflurane-sufentanil significantly reduces the stress response to the surgery, when compared to propofol-sufentanil. results compared to the baseline (t0), at the end of cardiopulmonary bypass (t1), both groups demonstrated a decrease in plasma cortisol levels with no statistical significant difference (...

background: systolic blood pressure recovery (rsbp) is of prognostic value for predicting the survival and co-morbidity rate in patients with coronary artery disease (cad). this study investigated the association between rsbp and exercise indices after complete cardiac rehabilitation program (cr) in a population-based sample of patients undergoing coronary artery bypass grafting (cabg). methods...

Coronary artery spasm in perioperative of coronary artery bypass graft surgery is a serious complication, with high rate mortality. Patient 51 years-old submitted to coronary artery bypass graft surgery without Extracorporeal Circulation. The patient evolved in 1st post operative (PO) day with enzymatic alteration and ST-elevation, developing soon afterwards in ventricular fibrillation, defibri...