title: Off-pump coronary artery bypass grafting in two renal transplant patients.
abstract: Coronary artery disease is a critical problem for a renal transplant patient. This paper reports off-pump coronary artery bypass grafting (OPCABG) in two cases after renal transplantation. The first, a 65-year-old woman, experienced chest pain 5 years after a renal transplantation. Coronary angiography (CAG) revealed stenosis of the left anterior descending artery (LAD) and the first diagonal artery (DB1). OPCABG [left internal thoracic artery (LITA) to DB1 and LAD] was performed. The second, a 67-year-old man, underwent percutaneous coronary intervention in the LAD 10 years ago. He experienced chest pain 2 years after a renal transplantation. CAG revealed restenosis of LAD. OPCABG (LITA to LAD) was performed. The patients' postoperative course was uneventful. OPCABG for a renal transplant patient was safe and useful since it is a less invasive procedure and easily managed perioperatively.
authors.affiliation: Department of Cardiovascular Surgery, Uwajima Municipal Hospital, Ehime, Japan.
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Sakao
authors.forename: Yasuaki
authors.initials: Y
authors.lastname: Kashu
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Nakagawa
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Kajiwara
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D013318:Stroke Volume / Q000502:physiology