[Successful emergency coronary artery bypass grafting in a patient with systemic lupus erythematosus under hemodialysis therapy].
A 38-year-old woman, who had been suffering from systemic lupus erythematosus (SLE) and receiving steroid therapy for the past 25 years, underwent a successful emergency coronary artery bypass grafting for unstable angina. She had also been treated with a 10-year period of hemodialysis therapy for chronic renal failure. Her coronary angiography revealed the heavily calcified ectatic right coronary artery with a thrombus formation in its proximal portion associated with severe stenosis in the proximal left coronary artery. The left internal thoracic artery was anastomosed to #7 and the saphenous vein to #3, respectively. Postoperative coronary angiography performed one month later revealed both grafts to be patent with no stenosis. Ischemic heart disease (IHD) is one of the major complication limiting the prognosis of the patient with SLE. We discuss the point related to cause of IHD and the surgical management.
Moriyama
Y
Y
Second Department of Surgery, Kagoshima University, Faculty of Medicine, Japan.
Hisatomi
K
K
Tamada
S
S
Shimokawa
S
S
Taira
A
A
Miyahara
K
K
D000328:Adult; D000789:Angina, Unstable / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods*; D004630:Emergencies; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000628:therapy; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D006435:Renal Dialysis