Abstract
Four episodes of ventricular fibrillation refractory to medical therapy occurred in a patient with increasingly severe angina pectoris. Coronary arteriography showed 90% stenosis of the left main coronary artery. After emergency aortocoronary saphenous vein bypass surgery, the patient had no further episodes and has felt well during a 17-month follow-up period. Such surgery should be considered in patients with coronary disease in whom life-threatening arrhythmias develop. (JAMA228:70-72, 1974)
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