The Annals of Thoracic Surgery, Vol 30, 564-568, Copyright © 1980 by The Society of Thoracic Surgeons
Coronary embolism: surgical management
R Pifarre, J Grieco, HJ Sullivan, PJ Scanlon, SA Johnson and RM Gunnar
The successful use of Fogarty catheter embolectomy combined with
aortocoronary vein bypass graft in 4 patients with an acute myocardial
infarction is presented. Three patients sustained acute occlusion of the
coronary artery secondary to an embolus during cardiac catheterization. In
the fourth patient, the left anterior descending coronary artery was
occluded with a fragment of calcium debris during aortic valve replacement.
All patients survived the operation. Acute occlusion of the coronary artery
secondary to an embolus is uncommon, but its early recognition and
appropriate surgical management may be lifesaving.