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Success After Selective Intracoronary Thrombolysis in Acute Myocardial Infarction

Robert L. Richardson, Jr, MD; Jerry B. Gooch, MD; S. Gwin Robbins, Jr, MD; H. Edward Garrett, MD; J. T. Davis, Jr, MD

Arch Surg. 1983;118(8):970-972.

Abstract
• Thirteen of 19 patients undergoing streptokinase infusion within five hours after acute myocardial infarction were deemed satisfactory candidates for bypass surgery. In all cases, operation was performed within less than a week, with no demonstrable ill effects from the enzyme. There was only one pulmonary-related death and only two patients in whom the results have been less than satisfactory. Eleven patients have markedly benefited from the combination of procedures, demonstrating excellent functional myocardial preservation. Radioisotope myocardial scan, exercise ECG, and repeat cardiac catheterizations have been used to assess myocardial status.

(Arch Surg 1983;118:970-972)

Author Affiliations
From the Departments of Surgery, Methodist and St Francis hospitals, Memphis.

Footnotes
Accepted for publication March 21, 1983.

Read before the 30th scientific meeting of the International Cardiovascular Society, Boston, June 18, 1982.

Reprint requests to 1325 Eastmoreland Ave, Suite 340, Memphis, TN 38104 (Dr Richardson).

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