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Twenty-six patients with left main coronary (LMC) stenosis were operated upon with preoperative intra aortic balloon pump (IABP) support. There was no mortality, and no morbidity attributable to the balloon catheter. The most delicate facet of revascularization surgery in this entity is the pre-cardiopulmonary bypass phase including anesthesia induction during which blood pressure fluctuation may further diminish severely compromised coronary flow. Although systolic pressure dropped to below 100 mm Hg in 50% of patients during induction, there were only two patients with electrocardiographic evidence of perioperative myocardial infarction, and only one who needed rantic institution of cardiopulmonary bypass just after induction. Perioperative logistics were quite trouble free in all 26 patients, in marked contrast to 5 LMC patients operated upon prior to our preoperative IABP concent; 3 of these deteriorated upon induction, with two deaths resulting. Preoperative IABP is a reasonable supportive adjunct in surgery for LMC stenosis.
G N Cooper, and
A K Singh, and
F C Christian, and
C Cashman, and
L Vargas, and
K E Karlson
February 1980,
British heart journal,
G N Cooper, and
A K Singh, and
F C Christian, and
C Cashman, and
L Vargas, and
K E Karlson
December 1995,
Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae,
G N Cooper, and
A K Singh, and
F C Christian, and
C Cashman, and
L Vargas, and
K E Karlson
June 1980,
Archives des maladies du coeur et des vaisseaux,
G N Cooper, and
A K Singh, and
F C Christian, and
C Cashman, and
L Vargas, and
K E Karlson
January 1979,
Annales de l'anesthesiologie francaise,
G N Cooper, and
A K Singh, and
F C Christian, and
C Cashman, and
L Vargas, and
K E Karlson
June 1997,
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery,
G N Cooper, and
A K Singh, and
F C Christian, and
C Cashman, and
L Vargas, and
K E Karlson
January 2012,
The Canadian journal of cardiology,
G N Cooper, and
A K Singh, and
F C Christian, and
C Cashman, and
L Vargas, and
K E Karlson
October 2001,
The Journal of invasive cardiology,
G N Cooper, and
A K Singh, and
F C Christian, and
C Cashman, and
L Vargas, and
K E Karlson
September 2017,
Current opinion in cardiology,
G N Cooper, and
A K Singh, and
F C Christian, and
C Cashman, and
L Vargas, and
K E Karlson
April 1999,
The Annals of thoracic surgery,
G N Cooper, and
A K Singh, and
F C Christian, and
C Cashman, and
L Vargas, and
K E Karlson
January 2005,
Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese,
