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Brief Report
JAMA. 1974;228(1):70-72. doi: 10.1001/jama.1974.03230260044023

Recurrent Ventricular Fibrillation

Treatment by Emergency Aortocoronary Saphenous Vein Bypass

  1. Sidney Alexander, MD;
  2. Youssef Makar, MD;
  3. F. Henry Ellis Jr., MD, PhD
  1. From the departments of internal medicine (Dr. Makar), (section of cardiology) (Dr. Alexander), and thoracic and cardiovascular surgery (Dr. Ellis), Lahey Clinic Foundation, Boston. Dr. Makar is now with the New England Deaconess Hospital, Boston.

Abstract

Four episodes of ventricular fibrillation refractory to medical therapy occurred in a patient with increasingly severe angina pectoris. Coronary arteriography showed 90% stenosis of the left main coronary artery. After emergency aortocoronary saphenous vein bypass surgery, the patient had no further episodes and has felt well during a 17-month follow-up period. Such surgery should be considered in patients with coronary disease in whom life-threatening arrhythmias develop.

(JAMA 228:70-72, 1974)

Footnotes

  • Reprint requests to Lahey Clinic Foundation, 605 Commonwealth Ave, Boston, MA 02215 (Dr. Alexander).

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