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Off-pump coronary artery bypass surgery in a renal transplant patient

Authors
  • Hattori, Koji1
  • Hoshino, Ryo1
  • Tochii, Masato1
  • Sato, Masato1
  • Yamashita, Mitsuru1
  • Ando, Motomi1
  • 1 Fujita Health University, Department of Cardiovascular Surgery, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan , Toyoake (Japan)
Type
Published Article
Journal
The Japanese Journal of Thoracic and Cardiovascular Surgery
Publisher
Springer-Verlag
Publication Date
Dec 11, 2006
Volume
54
Issue
12
Pages
532–534
Identifiers
DOI: 10.1007/s11748-006-0046-x
Source
Springer Nature
Keywords
License
Yellow

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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