Myocardial Ischemia and Infarction During Coronary Artery Bypass Surgery

Perioperative myocardial ischemia and necrosis are substantially more common during coronary artery bypass surgery than appreciated until recently. They occur most commonly within hours after release of aortic occlusion. Coronary vasospasm after protamine administration contributes to their occurrence. This book describes in detail their causes, locations, and diagnosis, Perioperative ischemia and infarction are most commonly diagnosed by eloctrocardiography, echocardiography, and serum enzymes. Approaches to management are also discussed.