Off-pump coronary artery bypass grafting in a patient with chronic myelomonocytic leukemia.
We report the case of a 71-year-old man with chronic myelomonocytic leukemia who developed cardiogenic shock twice due to a stenosis of the left main trunk of the coronary artery. We performed coronary artery bypass grafting to the left anterior descending artery with the left internal thoracic artery without using a cardiopulmonary bypass. The patient had no infection, leukemic transformation, or cardiac event after the surgery. Off-pump coronary artery bypass grafting is safe and useful for high risk patients, such as those with leukemia.
Ito
Kazuhiro
K
Department of Thoracic and Cardiovascular Surgery, Saiseikai-Suita Hospital, Osaka, Japan.
Kawachi
Hideyuki
H
Nishiyama
Katsuhiko
K
Yaku
Hitoshi
H
Kitamura
Nobuo
N
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D002315:Cardiopulmonary Bypass / Q000379:methods*; D006801:Humans; D015477:Leukemia, Myelomonocytic, Chronic / Q000150:complications*; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery* / Q000628:therapy; D012770:Shock, Cardiogenic / Q000209:etiology*