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Abstract
Patients undergoing noncardiac general surgical procedures after coronary artery bypass
surgery have reduced mortality compared with those operated on without prior revascularization.
The urgency of the noncardiac procedure and the potential reconstructability of the
coronary artery anatomy may mitigate against timely revascularization. We report the
successful outcome of prophylactic intra-aortic balloon counterpulsation in three
patients with coronary artery disease and impaired left ventricular function undergoing
noncardiac surgical procedures. Intra-aortic balloon counterpulsation may provide
myocardial protection in high-risk cardiac patients requiring noncardiac surgery initially.
A review of the literature is discussed.
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Article info
Publication history
Accepted:
December 16,
1988
Identification
Copyright
© 1989 Published by Elsevier Inc.