Coronary Artery Bypass Grafting in Cardiogenic Shock: Decision-Making, Management Options, and Outcomes.
Publication/Presentation Date
7-1-2021
Abstract
Coronary artery bypass grafting is a highly efficacious mode of myocardial revascularization that reduces mortality from ischemic heart disease. The patient presenting after acute myocardial infarction in cardiogenic shock presents a unique challenge. Early revascularization is proven to reduce mortality, but many questions remain, including the optimal mode and extent of revascularization, the role of mechanical circulatory support, and which patients are candidates for surgical intervention. Unprecedented attention to the outcomes of cardiac surgery means decisions about the management of the acute myocardial infarction in cardiogenic shock patients are influenced by risk aversion. The authors here review this topic to arm the reader with a comprehensive understanding of the literature to better guide surgical decision-making and perioperative management.
Volume
35
Issue
7
First Page
2144
Last Page
2154
ISSN
1532-8422
Published In/Presented At
Ibrahim, M., Spelde, A. E., Gutsche, J. T., Cevasco, M., Bermudez, C. A., Desai, N. D., Szeto, W. Y., Atluri, P., Acker, M. A., & Williams, M. L. (2021). Coronary Artery Bypass Grafting in Cardiogenic Shock: Decision-Making, Management Options, and Outcomes. Journal of cardiothoracic and vascular anesthesia, 35(7), 2144–2154. https://doi.org/10.1053/j.jvca.2020.09.108
Disciplines
Medicine and Health Sciences
PubMedID
33268279
Department(s)
Department of Surgery
Document Type
Article