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Myocardial Infarction After CABG

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Coronary Graft Failure

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Abstract

Coronary artery bypass graft (CABG) surgery leads to postoperative relief from symptoms in patients with angina pectoris. However, the incidence for myocardial infarction (MI) after CABG surgery is 6.6 % and it has an estimated rate of mortality ranging from 0.5 to 14 % because it is difficult to diagnose and to treat. The most common cause of MI that occurs in the perioperative period is a surgical technical problem, usually related to the graft anastomotic sites, and several years after surgery the progressive atherosclerosis and plaque rupture is the most common phenomenon that leads to the occlusion of the grafts. The treatment of MI after CABG surgery involves a multidisciplinary team (Heart Team) made up of clinical cardiologist, cardiac surgeon, and interventional cardiologist because it is a multidisciplinary decision-making process. They will analyze and interpret the available diagnostic evidence and will decide, in the clinical context of the patient condition, if either percutaneous coronary intervention (PCI) or CABG will be performed. The correction of atherosclerosis risk factors and the development of diagnosis and treatment technique have improved the short- and long-term prognoses in patients with MI and CABG history.

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Authors and Affiliations

  1. Department of Cardiology and Internal Medicine, “Gr.T.Popa” University of Medicine and Pharmacy, Iasi, Romania

    Cătălina Arsenescu Georgescu MD, PhD, FESC

  2. Department of Cardiology, “George I.M. Georgescu” Cardiovascular Diseases Institute, Iaşi, 700503, Romania

    Cătălina Arsenescu Georgescu MD, PhD, FESC & Anca Elena Găitan MD

  3. Department of Electrophysiology and Pacing, “George I.M Georgescu” Cardiovascular Diseases Institute, “Gr. T. Popa” University of Medicine and Pharmacy, Iaşi, 700503, Romania

    Cristian Stătescu MD, PhD, FESC

Authors
  1. Cătălina Arsenescu Georgescu MD, PhD, FESC
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  2. Anca Elena Găitan MD
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  3. Cristian Stătescu MD, PhD, FESC
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Corresponding author

Correspondence to Cătălina Arsenescu Georgescu MD, PhD, FESC .

Editor information

Editors and Affiliations

  1. Cardiology, Army's Center for Cardiovascular Di, Bucharest, Romania

    Ion C. Ţintoiu

  2. Department of Surgery, Chinese University of Hong Kong, Sha Tin, Hong Kong

    Malcolm John Underwood

  3. University Fribourg, Hospital HFR Fribourg, Fribourg, Fribourg, Switzerland

    Stephane Pierre Cook

  4. Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

    Hironori Kitabata

  5. University Medical Center, Texas Tech Univ. Health Science Center, EL PASO, Texas, USA

    Aamer Abbas

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© 2016 Springer International Publishing Switzerland

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Arsenescu Georgescu, C., Găitan, A.E., Stătescu, C. (2016). Myocardial Infarction After CABG. In: Ţintoiu, I., Underwood, M., Cook, S., Kitabata, H., Abbas, A. (eds) Coronary Graft Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-26515-5_17

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  • DOI: https://doi.org/10.1007/978-3-319-26515-5_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26513-1

  • Online ISBN: 978-3-319-26515-5

  • eBook Packages: MedicineMedicine (R0)

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