Off-pump coronary artery bypass grafting for a left main lesion due to cardiac allograft vasculopathy in Japan: first report of a case

Tomoyuki Fujita, Junjiro Kobayashi, Hiroki Hata, Yoshihiro Murata, Osamu Seguchi, Masanobu Yanase, Yusuke Shimahara, Shunsuke Sato, Takeshi Nakatani

Research output: Contribution to journalArticlepeer-review

Abstract

Cardiac allograft vasculopathy (CAV) is a major cause of mortality after transplantation. We treated a 44-year-old female with off-pump coronary artery bypass grafting (OPCAB) 4 years after heart transplantation. Annual examinations, including coronary angiography and intravenous ultrasound (IVUS), revealed a severe lesion in the left main trunk. The left internal mammary artery was successfully anastomosed to the left anterior descending artery in an off-pump manner. To ensure that patients have a good long-term outcome after heart transplantation, routine examinations, including IVUS, are crucial, because of the nature of CAV. OPCAB is a good option for a left main trunk lesion due to CAV.

Original languageEnglish
Pages (from-to)1949-1952
Number of pages4
JournalSurgery Today
Volume44
Issue number10
DOIs
Publication statusPublished - 01-10-2014
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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