0
ARTICLE |

Recurrent Ventricular Fibrillation: Title and subTitle BreakTreatment by Emergency Aortocoronary Saphenous Vein Bypass FREE

Sidney Alexander, MD; Youssef Makar, MD; F. Henry Ellis, Jr., MD, PhD
[+] Author Affiliations

Reprint requests to Lahey Clinic Foundation, 605 Commonwealth Ave, Boston, MA 02215 (Dr. Alexander).


JAMA. 1974;228(1):70-72. doi:10.1001/jama.1974.03230260044023
Text Size: A A A
Published online

Four episodes of ventricular fibrillation refractory to medical therapy occurred in a patient with increasingly severe angina pectoris. Coronary arteriography showed 90% stenosis of the left main coronary artery. After emergency aortocoronary saphenous vein bypass surgery, the patient had no further episodes and has felt well during a 17-month follow-up period. Such surgery should be considered in patients with coronary disease in whom life-threatening arrhythmias develop.

(JAMA 228:70-72, 1974)

REFERENCES

Alderman EL, et al:  Results of direct coronary-artery surgery for the treatment of angina pectoris . N Engl J Med 288:535-539, 1973;.
Spencer FC, et al:  Bypass grafting for occlusive disease of the coronary arteries: A Report of experience with 195 patients . Ann Surg 173:1029-1044, 1971;.
Johnson WB, Lepley D Jr:  An aggressive surgical approach to coronary disease . J Thorac Cardiovasc Surg 59:128-138, 1970;.
Segal BL, et al:  Saphenous vein bypass surgery for impending myocardial infarction: Critical evaluation and current concepts . JAMA 223:767-772, 1973;.
Vogel JH, et al:  Emergency vein bypass for the preinfarction syndrome . Chest 59:606-609, 1971;.
Spencer FC:  Bypass grafting for preinfarction angina . Circulation 45:1314-1318, 1972;.
Mundth ED, et al:  Direct coronary arterial revascularization: Treatment of cardiac failure associated with coronary artery disease . Arch Surg 103:529-534, 1971;.
Couch OA Jr:  Cardiac aneurysm with ventricular tachycardia and subsequent excision of aneurysm: Case report . Circulation 20:251-253, 1959;.
Ritter ER:  Intractable ventricular tachycardia due to ventricular aneurysm with surgical cure . Ann Intern Med 71:1155-1157, 1969;.
Lambert CJ, et al:  Emergency myocardial revascularization for impending infarctions and arrythmias . J Thorac Cardiovasc Surg 62:522-528, 1971;.
Ecker RR, et al:  Control of intractable ventricular tachycardia by coronary revascularization . Circulation 44:666-670, 1971;.
Mundth ED, et al:  Surgical treatment of ventricular irritability . Read before the meeting of the American Association for Thoracic Surgery, Dallas, April 18, 1973 .
Krauss KR, Hutter AM Jr, DeSanctis RW:  Acute coronary insufficiency: Course and followup . Circulation 45( (suppl 1) ):66-71, 1972;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Alderman EL, et al:  Results of direct coronary-artery surgery for the treatment of angina pectoris . N Engl J Med 288:535-539, 1973;.
Spencer FC, et al:  Bypass grafting for occlusive disease of the coronary arteries: A Report of experience with 195 patients . Ann Surg 173:1029-1044, 1971;.
Johnson WB, Lepley D Jr:  An aggressive surgical approach to coronary disease . J Thorac Cardiovasc Surg 59:128-138, 1970;.
Segal BL, et al:  Saphenous vein bypass surgery for impending myocardial infarction: Critical evaluation and current concepts . JAMA 223:767-772, 1973;.
Vogel JH, et al:  Emergency vein bypass for the preinfarction syndrome . Chest 59:606-609, 1971;.
Spencer FC:  Bypass grafting for preinfarction angina . Circulation 45:1314-1318, 1972;.
Mundth ED, et al:  Direct coronary arterial revascularization: Treatment of cardiac failure associated with coronary artery disease . Arch Surg 103:529-534, 1971;.
Couch OA Jr:  Cardiac aneurysm with ventricular tachycardia and subsequent excision of aneurysm: Case report . Circulation 20:251-253, 1959;.
Ritter ER:  Intractable ventricular tachycardia due to ventricular aneurysm with surgical cure . Ann Intern Med 71:1155-1157, 1969;.
Lambert CJ, et al:  Emergency myocardial revascularization for impending infarctions and arrythmias . J Thorac Cardiovasc Surg 62:522-528, 1971;.
Ecker RR, et al:  Control of intractable ventricular tachycardia by coronary revascularization . Circulation 44:666-670, 1971;.
Mundth ED, et al:  Surgical treatment of ventricular irritability . Read before the meeting of the American Association for Thoracic Surgery, Dallas, April 18, 1973 .
Krauss KR, Hutter AM Jr, DeSanctis RW:  Acute coronary insufficiency: Course and followup . Circulation 45( (suppl 1) ):66-71, 1972;.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.