Emergency coronary artery surgery after refractory cardiac arrest: a single centre experience. Issue 5 (May 1992)

• Record Type: Journal Article
• Authors: Powney, J G; Bonser, R S; Lentini, S
• Is Part Of: Heart. Volume 67:Issue 5(1992)
• Page Start: 392
• Page End: 394
• Publication Date: 1992-05
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/hrt.67.5.392
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : OBJECTIVE--To determine the incidence and outcome of refractory cardiac arrest necessitating emergency coronary artery bypass grafting. DESIGN--Retrospective survey of cardiac catheterisation and surgical records. SETTING--The London Chest Hospital. PATIENTS--All patients requiring emergency coronary artery bypass grafting after cardiovascular collapse in the catheterisation suite between January 1984 and December 1989. MAIN OUTCOME MEASURES--Incidence of refractory cardiac arrest in the study group and perioperative mortality. RESULTS--Thirteen of 8675 patients undergoing coronary arteriography or angioplasty had refractory cardiac arrests. Five patients died, but the remainder survived to be discharged from hospital without serious morbidity. CONCLUSION--Without immediate surgical intervention the mortality for these 13 patients would have been 100%.