Off-pump coronary artery bypass grafting in two renal transplant patients.

Autor: Sakao, Toshihiko, Kashu, Yasuaki, Nakagawa, Hiromichi, Kajiwara, Shinsuke
Zdroj: Japanese Journal of Thoracic & Cardiovascular Surgery; Dec2003, Vol. 51 Issue 12, p678-680, 3p
Abstrakt: Coronary artery disease is a critical problem for a renal transplant patient. This paper reports offpump coronary artery bypass grafting (OPCABG) in two cases after renal transplantation. The first, a 65-year-old woman, experienced chest pain 5 years after a renal transplantation. Coronary angiography (CAG) revealed stenosis of the left anterior descending artery (LAD) and the first diagonal artery (DB1). OPCABG [left internal thoracic artery (LITA) to DB1 and LAD] was performed. The second, a 67-year-old man, underwent percutaneous coronary intervention in the LAD 10 years ago. He experienced chest pain 2 years after a renal transplantation. CAG revealed restenosis of LAD. OPCABG (LITA to LAD) was performed. The patients’ postoperative course was uneventful. OPCABG for a renal transplant patient was safe and useful since it is a less invasive procedure and easily managed perioperatively. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index