Coronary bypass surgery after thrombolytic therapy for total occlusion of the left main coronary artery.
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概要
- 論文の詳細を見る
A 73-year-old man with a history of ischemic heart disease was diagnosed with an extensive, acute anterior myocardial infarction. Coronary arteriography demonstrated total occlusion of the left main coronary artery, and the right coronary artery was predominant. Selective intracoronary thrombolysis was initiated immediately with a total dose of 480, 000 IU of urokinase and resulted in recanalization to a 99% diameter stenosis of the LMCA. Emergency coronary artery bypass grafting was performed 7 hours after recanalization. An intra-aortic balloon pump, inserted before the operation, was removed on the 8th day after the operation. The post operative course seemed to be good; but the patient expired from acute renal failure and sepsis, 45 days after the operation.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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AOYAGI Shigeaki
Department of Cardiovascular Surgery, Kurume University School of Medicine
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Akagawa Haruo
Department Of 2nd Surgery Kurume University School Of Medicine
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Koga Michihiro
Department Of 2nd Surgery Kurume University School Of Medicine
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Hisatomi Kouichi
Department of Surgery, Kurume University School of Medicine
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Kosuga Kenichi
Department Of 2nd Surgery Kurume University School Of Medicine
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Koga Akihiko
Department Of Appkied Physics Osaka University
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Kawara Takemi
Department Of Cardiovascular Surgery St. Mary's Hospital
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HARA Hiroshi
Department fo Bioscience and Chemistry, Faculty of Agriculture
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Shima Hiroshi
Department of Biological Safety Research, Japan Food Research Laboratories
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SHIMA HIROSHI
Departments of Surgery Kurume University School of Medicine
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YANAGI IZUMI
Departments of Surgery Kurume University School of Medicine
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OORYOUJI SANEATSU
Departments of Surgery Kurume University School of Medicine
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YAMASHITA MASAYASU
Departments of Surgery Kurume University School of Medicine
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OOISHI KIROKU
Departments of Surgery Kurume University School of Medicine
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OOKITA YASUO
Internal Medicine, Kurume University School of Medicine
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HIYAMUTA KOUJI
Internal Medicine, Kurume University School of Medicine
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MIZOGUCHI KEIICHIRO
Internal Medicine, Kurume University School of Medicine
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TOSHIMA HIRONORI
Internal Medicine, Kurume University School of Medicine
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KOGA MICHIHIRO
Departments of Surgery Kurume University School of Medicine
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KAWARA TAKEMI
Departments of Surgery Kurume University School of Medicine
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AKAGAWA HARUO
Departments of Surgery Kurume University School of Medicine
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KOGA AKIHIKO
Departments of Surgery Kurume University School of Medicine
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