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The Journal of Thoracic and Cardiovascular Surgery, Vol 74, 299-306, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
J Bardet, M Rigaud, JC Kahn, JF Huret, I Gandjbakhch and JP Bourdarias
Twenty-one patients with postinfarction angina (2 to 15 days after acute
myocardial infarction) unresponsive to medical therapy were treated by
intra-aortic balloon pumping (IABP). Anginal pain and electrocardiographic
(ECG) ST-segment changes were prevented in all patients. Coronary
angiograms were obtained during IABP without complication and confirmed
severe coronary artery disease. Of the four nonoperated patients, three had
reinfarction and two died of cardiogenic shock. Seventeen patients
underwent aorta-coronary bypass grafting, associated with aneurysmectomy in
two patients and closure of a ventricular septal defect in one. Sixteen
patients survived the operation. All survivors are in clinically improved
condition and 14 are pain free from 9 to 28 months postoperatively, but
three have mild heart failure.
ARTICLES
Treatment of post-myocardial infarction angina by intra-aortic ballon pumping and emergency revascularization
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J. M. Smith, L. D. Joyce, H. G. Mauer, and R. C. Lillehei Intraaortic Balloon Counterpulsation: A Review Vascular and Endovascular Surgery, November 1, 1978; 12(6): 377 - 384. [Abstract] [PDF] |
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