Off-pump coronary artery bypass is an alternative to conventional cardiopulmonary bypass when repair of traumatic coronary artery injuries is indicated

Coronary artery injuries after penetrating cardiac trauma are rare. The standard approach to these injuries has traditionally been coronary artery ligation. When cardiac perfusion is profoundly compromised, cardiopulmonary bypass has been used to facilitate revascularization, although with serious m...

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Bibliographic Details
Published in:The American surgeon 2007-03, Vol.73 (3), p.296-298
Main Authors: MOORE, Forrest O, BERNE, John D, TURNER, William F, VILLARREAL, David H, MCGOVERN, Thomas, ROWE, Stephen A, NORWOOD, Scott H
Format: Article
Language:English
Subjects:
Abdominal Injuries - diagnosis
Abdominal Injuries - surgery
Adolescent
Biological and medical sciences
Cardiology. Vascular system
Cardiopulmonary Bypass
Contraindications
Coronary Artery Bypass, Off-Pump - methods
Coronary heart disease
Coronary vessels
Coronary Vessels - injuries
Coronary Vessels - surgery
Follow-Up Studies
General aspects
Heart
Heart Injuries - diagnosis
Heart Injuries - surgery
Humans
Male
Medical sciences
Multiple Trauma
Pulmonary arteries
Radiography, Thoracic
Trauma
Trauma Severity Indices
Wounds, Stab - diagnosis
Wounds, Stab - surgery
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Summary:Coronary artery injuries after penetrating cardiac trauma are rare. The standard approach to these injuries has traditionally been coronary artery ligation. When cardiac perfusion is profoundly compromised, cardiopulmonary bypass has been used to facilitate revascularization, although with serious morbidity. We report a case of traumatic left anterior descending coronary artery transection repaired off-pump in a young stabbing victim. Penetrating traumatic cardiac injuries are highly lethal injuries. Cardiopulmonary bypass has been used for myocardial revascularization when cardiac perfusion is compromised, although with significant complications. Off-pump coronary artery bypass is a safe alternative in the traumatized patient.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313480707300323