Coronary artery bypass grafting in patients with systemic lupus erythematosus.
Cardiac involvement in patients with systemic lupus erythematosus (SLE) is common. The natural history of the cardiovascular manifestations has been altered by systemic corticosteroids used for the treatment of SLE; thus, young patients with SLE may suffer from angina and myocardial infarction. The surgical problems and special requirements in patients with SLE are discussed. CAD is one of the major complications limiting the prognosis of the patient with SLE. In the future, a large number of SLE patients may be candidates for myocardial revascularization. In our opinion, total autogenous arterial bypass grafting is advised and intraoperative biopsies of the LIMA are meaningful in patients with SLE.
Bossert
T
T
Klinik für Herzchirurgie, Herzzentrum der Universität Leipzig, Strümpellstr. 39, 04289 Leipzig, Germany. TBossert11@aol.com
Falk
V
V
Gummert
J F
JF
Rahmel
A
A
Mohr
F W
FW
D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000009:adverse effects / Q000627:therapeutic use; D000328:Adult; D015331:Cohort Studies; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy; D008297:Male; D011446:Prospective Studies; D012307:Risk Factors
D000305:Adrenal Cortex Hormones