Off-pump coronary artery bypass grafting in two renal transplant patients |
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Authors: | Toshihiko Sakao Yasuaki Kashu Hiromichi Nakagawa and Shinsuke Kajiwara |
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Institution: | (1) Department of Cardiovascular Surgery, Uwajima Municipal Hospital, 1-1 Goten-machi, Uwajima, 798-8510 Ehime, Japan |
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Abstract: | 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. |
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Keywords: | renal transplantation off-pump coronary artery bypass grafting |
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