title: Simultaneous off-pump coronary artery bypass grafting and in vivo heterogenous renal transplantation. Considering results and indications.
abstract: Complications of arterial sclerosis lesions are found in patients in dialysis for end-stage chronic renal failure. We present a case of simultaneous coronary artery bypass grafting (CABG) and renal transplantation. A 64-year-old man was to undergo in vivo heterogenous renal transplantation for chronic renal failure. Angiography was undertaken for preoperative abnormal electrocardiography, which showed severe long segmental stenosis of the left anterior descending coronary artery. We discussed the possibility of simultaneous surgery, conducting off-pump CABG and renal transplantation at the same time. Postoperative management of the implanted kidney was easy despite high infusion. His postoperative course went well, without cardiac events. Simultaneous off-pump CABG and in vivo heterogenous thus provide a viable option for patients with comorbid disease.
authors.affiliation: Department of Cardiovascular Surgery, Uwajima Municipal Hospital, 1-1 Goten-Machi, Uwajima, Ehime 798-8510, Japan.
authors.forename: Yasuaki
authors.initials: Y
authors.lastname: Kashu
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Sakao
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Nakagawa
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Kajiwara
mesh_terms: D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery* / Q000628:therapy; D016030:Kidney Transplantation; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D016896:Treatment Outcome