[Off-pump coronary artery bypass grafting for unstable angina pectoris combined with hypothyroidism and chronic renal failure; report of a case].
Coronary artery bypass grafting for patients with ischemic heart disease and hypothyroidism contains many controversies, and chronic renal failure causes perioperative water-electrolyte balance disorders. We experienced a case of unstable angina pectoris combined with hypothyroidism and chronic renal failure successfully treated by off-pump coronary artery bypass grafting (OPCAB). A 68-year-old man with a history of hypothyroidism and chronic renal failure was hospitalized with chest pain. Cardiac catheterisation revealed a 90% stenosis of segment 3, 11 and right ventricular (RV) branch, 75% stenosis of segment 6 and 50% stenosis of segment 5. His thyroid function was normal with orally administered levothyroxine. OPCAB was performed safely with hemodialysis until a day before operation and hemofiltration from a day after operation, and postoperative course was uneventful.
Hirano
Y
Y
Department of Cardiovascular Surgery, National Kanazawa Hospital, Kanazawa, Japan.
Matsumoto
Y
Y
Endoh
M
M
Kasashima
F
F
Abe
Y
Y
Sasaki
H
H
D000368:Aged; D000787:Angina Pectoris / Q000150:complications / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods*; D006440:Hemofiltration; D006801:Humans; D007037:Hypothyroidism / Q000150:complications*; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D006435:Renal Dialysis; D016896:Treatment Outcome; D014883:Water-Electrolyte Imbalance / Q000209:etiology