title: [A case of coronary artery bypass grafting in a patient with active systemic lupus erythematosus].
abstract: A 59-year-old female was admitted to our hospital because of chest pain. Coronary angiography revealed severe obstruction of the left coronary artery. The findings of hematology and renal biopsy were interpreted as showing active systemic lupus erythematosus (SLE). Coronary artery bypass grafting was performed before steroid therapy because of worsening cardiac function due to myocardial ischemia. Postoperative course had been satisfactory immediately after operation, but the patient showed pulmonary infection about two months after operation and died three months after surgery. In open heart surgery for a patient with active SLE, special care must be taken to the prevention and treatment for infection.
authors.affiliation: Department of Cardiovascular Surgery, Shizuoka Red Cross Hospital, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Higashi
authors.forename: H
authors.initials: H
authors.lastname: Mitake
authors.forename: T
authors.initials: T
authors.lastname: Nagahama
authors.forename: T
authors.initials: T
authors.lastname: Hachiya
mesh_terms: D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008875:Middle Aged; D011014:Pneumonia / Q000209:etiology; D011183:Postoperative Complications