[HSF] emergency surgical revascularization in acute LAD stent occlusion

[erdinç naseri]

Dear forum members ,
53 Y/O male with acute anteroseptal MI.
CAG:RCA occluded,CRX nl,LAD occluded from the ostium.
PCI to LAD( succesful ) and transfer to ICU.30 minutes later developes LCO followed by deep  bradycardia and then cardiac arrest.This was the moment that I saw the patient  and  we intubated him( pulmonary edema fluid in the tube )and started CPR. 5 minutes later consultant cardiologist arrives.CPR  continues but no response is observed.I recommended very strongly( real strong) to immediately take him to op. room and give him a chance by revascularizing LAD on CPB. The Cardiologist insisted on that there would be no use to operate a patienti in his condition.Patient is lost.
What would members of the forum do in that condition.
erdinc