The Journal of Thoracic and Cardiovascular Surgery, Vol 93, 936-939, Copyright © 1987 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Coronary bypass without angiography: an unusual circumstance
CB Wright, DB Melvin, JB Flege Jr, H Long, R Millard and M Marcus
This paper presents an unusual case of an individual with myocardial
ischemia, angina pectoris, and myocardial infarction who also had an
anaphylactic reaction to angiographic dye. The coronary bypass operation
was guided by the use of intraoperative coronary reactive hyperemia
assessed by Doppler ultrasound. The patient has had a good response to the
operation without additional angina or difficulties.