An Interesting Case of Emergency Coronary Artery Bypass Graft and Challenging Postoperative Course in a Patient With Failed Angioplasty

Abstract

It is still challenging to safeguard the myocardium during cardiac surgery in patients who have acute ischemia following a failed percutaneous transluminal coronary angioplasty (PTCA). The procedure, which is referred to as PTCA is constantly evolving. Since its introduction, the population undergoing treatment has changed due to changes in the indications, quantity, and quality of stenosis susceptible to therapy, as well as the device used. As a result, surgical outcomes from the early 1980s might not apply to the current scenario. Here, we report a case of a 73-year-old male who underwent eventful angioplasty and, later, was planned for emergent coronary artery bypass grafting, the challenging postoperative period, and the successful management of the patient following the procedure.

Keywords

• corticosteroids; emergency coronary artery bypass graft; failed angioplasty; femoral vein; kissing stents