[An emergent coronary artery bypass grafting to total occlusion of all three coronary arteries in a patient with severe hyperbilirubinemia].
A 69-year-old man was transferred to our hospital because of chest pain and dyspnea. He had been very ill due to acute hepatitis and hyperbilirubinemia. Coronary angiography showed total occlusion of all three coronary arteries. An emergent coronary artery bypass grafting was successfully performed after insertion of IABP. Even though total bilirubin levels rose to 20.5 mg/dl, it gradually decreased without plasmapheresis. He had no hepatic failure and was discharged on foot on the 24th postoperative days.
Kaneda
K
K
Department of Cardiovascular Surgery, Sapporo Higashi Tokushukai Hospital, Hokkaido, Japan.
Nishiwaki
N
N
Kondo
T
T
Sakota
S
S
D006348:Cardiac Surgical Procedures / Q000379:methods; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000209:etiology / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology; D004630:Emergencies; D006505:Hepatitis / Q000150:complications; D006801:Humans; D006932:Hyperbilirubinemia / Q000150:complications*; D008297:Male; D008875:Middle Aged