Skip to main content
NCBI home page
Thorax logoLink to Thorax
. 1974 Mar;29(2):209–214. doi: 10.1136/thx.29.2.209

Sudden death in patients awaiting coronary artery surgery

B S Lewis 1, M S Gotsman 1
PMCID: PMC470131  PMID: 4831528

Abstract

Lewis, B. S. and Gotsman, M. S. (1974).Thorax, 29, 209-214. Sudden death in patients awaiting coronary artery surgery. Six patients with coronary artery disease are described who died suddenly while awaiting an operation to revascularize the myocardium. Each patient had recent onset of severe angina pectoris and this was caused by critical narrowing(s) of 90% or more of a major coronary artery(ies) supplying a large portion of the left ventricular myocardium. The syndrome can be diagnosed only by cardiac catheterization and high quality coronary arteriography.

Patients in whom the myocardial blood supply is critically compromised must be recognized. These patients are liable to sudden death and require urgent myocardial revascularization.

Full text

PDF
209

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bemis C. E., Gorlin R., Kemp H. G., Herman M. V. Progression of coronary artery disease. A clinical arteriographic study. Circulation. 1973 Mar;47(3):455–464. doi: 10.1161/01.cir.47.3.455. [DOI] [PubMed] [Google Scholar]
  2. Bruschke A. V., Proudfit W. L., Sones F. M., Jr Clinical course of patients with normal, and slightly or moderately abnormal coronary arteriograms. A follow-up study on 500 patients. Circulation. 1973 May;47(5):936–945. doi: 10.1161/01.cir.47.5.936. [DOI] [PubMed] [Google Scholar]
  3. Effler D. B. Current era of revascularization surgery. Surg Clin North Am. 1971 Oct;51(5):1009–1013. doi: 10.1016/s0039-6109(16)39526-3. [DOI] [PubMed] [Google Scholar]
  4. Effler D. B., Favaloro R. G., Groves L. K., Loop F. D. The simple approach to direct coronary artery surgery. Cleveland Clinic experience. J Thorac Cardiovasc Surg. 1971 Oct;62(4):503–510. [PubMed] [Google Scholar]
  5. Effler D. B., Favaloro R. G., Groves L. K. Myocardial revascularization. Cleveland clinic experience. J Cardiovasc Surg (Torino) 1971 Jan-Feb;12(1):1–8. [PubMed] [Google Scholar]
  6. Favaloro R. G., Effler D. B., Groves L. K., Sheldon W. C., Shirey E. K., Sones F. M., Jr Severe segmental obstruction of the left main coronary artery and its divisions. Surgical treatment by the saphenous vein graft technique. J Thorac Cardiovasc Surg. 1970 Oct;60(4):469–482. [PubMed] [Google Scholar]
  7. Gorlin R., Klein M. D., Sullivan J. M. Prospective correlative study of ventricular aneurysm. Mechanistic concept and clinical recognition. Am J Med. 1967 Apr;42(4):512–531. doi: 10.1016/0002-9343(67)90051-4. [DOI] [PubMed] [Google Scholar]
  8. Gotsman M. S., Lewis B. S., Bakst A. Obstruction of the left main coronary artery--the artery of sudden death. S Afr Med J. 1973 Apr 21;47(15):641–644. [PubMed] [Google Scholar]
  9. Miller D. C., Cannom D. S., Fogarty T. J., Schroeder J. S., Daily P. O., Harrison D. C. Saphenous vein coronary artery bypass in patients with "preinfarction angina". Circulation. 1973 Feb;47(2):234–241. doi: 10.1161/01.cir.47.2.234. [DOI] [PubMed] [Google Scholar]
  10. Proudfit W. L., Sones F. M., Jr, Shirey E. K., Fergusson D. J., Sheldon W. C. Revascularization of the myocardium. Dis Chest. 1969 Apr;55(4):315–320. doi: 10.1378/chest.55.4.315. [DOI] [PubMed] [Google Scholar]
  11. Robers N. M., Bakst A., Lewis B. S., Moyes D. G., Gotsman M. S. Early results of surgery for coronary artery disease. S Afr Med J. 1972 Sep 2;46(35):1247–1253. [PubMed] [Google Scholar]
  12. Roberts W. C. Relationship Between Coronary Thrombosis and Myocardial Infarction. Mod Concepts Cardiovasc Dis. 1972 Feb;41(2):7–10. [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES