A 48-year-old male was consulted to our hospital on the next day when he was developed acute myocardial infarction (AMI). He developed cerebral infarction 26 years ago, and had left hemiparesis. Coronary angiogram revealed left main trunk and 2 vessels disease which was not amenable to catheter intervention, and brain computed tomography (CT) showed a very large infarction in right cerebrum. Off-pump coronary artery bypass grafting (OPCAB) double bypass grafting was performed. The paralysis did not get worse in the post operative course. He was discharged to his home. If the cerebral infarction is chronic phase with preserved neurological function, OPCAB may be recommended, even if it is large infarction.

Download full-text PDF

Source

Publication Analysis

Top Keywords

bypass grafting
12
cerebral infarction
12
coronary artery
8
artery bypass
8
large infarction
8
infarction
6
[off-pump coronary
4
grafting large
4
large cerebral
4
infarction report
4

Similar Publications

Background: Patients with end-stage kidney disease (ESKD) are at high risk for coronary artery disease. We investigate the trends and outcomes of percutaneous coronary intervention (PCI) for stable ischemic heart disease (SIHD) in patients with ESKD.

Methods: We utilized the United States Renal Data System [2010-2018] to include adult patients with ESKD on dialysis for at least 3 months who underwent PCI for SIHD.

View Article and Find Full Text PDF

Unlabelled: The increased rate of anterior cruciate ligament (ACL) tears has led to a greater number of revisions. Revision surgery can be performed in one or two stages. Single-stage revision ACL reconstruction (ssRACLR) may be performed when prior tunnels can be re-used or bypassed whereas a two-stage procedure is indicated when bone grafting of dilated tunnels prior to revision is necessary.

View Article and Find Full Text PDF

Pregnancy-related spontaneous coronary artery dissection (P-SCAD) is a life-threatening condition that occurs during or after pregnancy, is rare and can be overlooked. It is one of the most important causes of pregnancy-related acute myocardial infarction. A 25-year-old female patient was admitted with a complaint of chest pain in her 37th week of pregnancy.

View Article and Find Full Text PDF

Navigating the aftermath: Risk factors of recurrence following coronary bypass surgery in Indonesia.

Narra J

December 2024

Department of Health Services Research and Management, School of Health and Psychological Sciences, City University of London, London, United Kingdom.

Coronary heart disease (CHD) remains a leading cause of mortality in Indonesia, and coronary artery bypass graft (CABG) surgery is frequently employed to manage arterial blockages. Despite its efficacy, the recurrence of heart disease post-surgery is a significant concern, highlighting the need for a deeper understanding of its influencing factors. The aim of this study was to examine the factors associated with the incidence of heart disease recurrence after coronary bypass surgery.

View Article and Find Full Text PDF

Background: Heart failure (HF) patients with reduced ejection fraction (HFrEF) now more commonly die of non-cardiovascular causes than they did in the past. In patients with both HFrEF and ischemic cardiomyopathy (as the cause of HFrEF or as an accompanying condition), the effect of myocardial revascularization-i.e.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!