Off-pump coronary artery bypass surgery in a renal transplant patient |
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Authors: | Koji Hattori Ryo Hoshino Masato Tochii Masato Sato Mitsuru Yamashita and Motomi Ando |
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Institution: | (1) Department of Cardiovascular Surgery, Fujita Health University, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake Aichi, 470-1192, Japan |
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Abstract: | Off-pump coronary artery bypass grafting is rarely applied to patients who have previously received a renal transplant in
Japan. A 59-year-old male renal transplant recipient was admitted for unstable angina pectoris. Emergency coronary angiography
revealed triple-vessel disease. Intraaortic balloon pumping was applied, followed by emergency off-pump coronary bypass grafting
for complete revascularization. Intraaortic balloon pumping was ceased immediately after the operation because his hemodynamic
status was stable. On the morning of the surgery, the patient was given his standard dose of immunosuppressive agents. On
postoperative day 1, he was extubated and infused with immunosuppressive agents. On postoperative day 2, his usual immunosuppressive
agents were resumed as per his normal dosage. He recovered uneventfully and is well without angina pectoris and renal complication
1 year after the operation. |
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Keywords: | Off-pump coronary artery bypass Renal transplant Immunosuppression |
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