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Rescue Percutaneous Coronary Intervention Immediately Following Coronary Artery Bypass Grafting*

Robert N. Piana, MD; Mark R. Adams, MBBS, PhD; James L. Orford, MBChB; Jeffrey J. Popma, MD; David H. Adams, MD; Samuel Z. Goldhaber, MD, FCCP
Author and Funding Information

*From the Cardiovascular Division (Dr. Piana), Vanderbilt University Medical Center, Nashville, TN; and the Cardiovascular and Cardiac Surgical Divisions (Drs. M. Adams, Orford, Popma, D. Adams, and Goldhaber), Brigham and Women’s Hospital, Harvard Medical School, Boston, MA.

Correspondence to: Robert N. Piana, MD, Director, Cardiac Catheterization Laboratories, Vanderbilt University Medical Center, 2311 Pierce Ave, Nashville, TN 37232-8802; e-mail: Robert.Piana@mcmail.vanderbilt.edu



Chest. 2001;120(4):1417-1420. doi:10.1378/chest.120.4.1417
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Perioperative graft failure after coronary artery bypass graft (CABG) can result in acute myocardial infarction with dire clinical consequences. We report a case of rescue percutaneous coronary intervention immediately after unsuccessful CABG. This approach salvaged the patient from cardiogenic shock and should be recognized as a viable alternative to immediate reoperation for certain patients.

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