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The Annals of Thoracic Surgery, Vol 52, 1320-1321, Copyright © 1991 by The Society of Thoracic Surgeons


ARTICLES

Aprotinin used in emergency coronary operation after streptokinase treatment

T Efstratiadis, C Munsch, D Crossman and K Taylor
Department of Cardiothoracic Surgery, Hammersmith Hospital, London, England.

We describe a patient with evolving myocardial infarction who underwent emergency intracoronary thrombolysis followed by immediate coronary artery grafting. Aprotinin was administered intraoperatively to control the potential bleeding problems associated with thrombolysis. Total postoperative blood loss was 260 mL. The case illustrates a further use for aprotinin in cardiac operations when excessive bleeding is anticipated.


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