Emergency coronary revascularization using polytetrafluoroethylene conduits in a patient in cardiogenic shock

A. R. Hartman, S. C. Vlay, J. P. Dervan, W. E. Lawson, J. Mannisi, C. E. Anagnostopoulos

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

There is growing awareness that a particular subset of patients with coronary artery disease who need surgical revascularization do not have autologous vein or internal mammary artery available or surgically applicable. The polytetrafluoroethylene graft has had limited use in aortocoronary bypass procedures. We describe a case of cardiogenic shock secondary to severe coronary artery disease and aortic stenosis, where the use of this synthetic graft contributed to a successful outcome. Angiographic patency was documented at 3 months follow‐up. Our experience, plus a review of the literature, supports the use of polytetrafluoroethylene grafts during aortocoronary artery bypass to salvage infarcting or ischemic myocardium, when traditional autologous bypass conduits are not available or applicable.

Original languageEnglish
Pages (from-to)75-78
Number of pages4
JournalClinical Cardiology
Volume14
Issue number1
DOIs
StatePublished - Jan 1991
Externally publishedYes

Keywords

  • cardiogenic shock
  • coronary surgery
  • emergency revascularization
  • polytetrafluorethylene

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