title: Off-pump coronary artery bypass grafting in a patient with Behçet's disease.
abstract: We report the case of a 58-year-old man with Behçet's disease who developed chest pain. Coronary angiography showed severe triple-vessel disease, and the patient was transferred to our department for urgent coronary artery bypass grafting. Because of the risk of anastomotic leakage or pseudoaneurysm formation, we performed off-pump coronary artery bypass grafting with the aortic no-touch technique. Postoperative coronary angiography showed that all the grafts were patent and no anastomotic pseudoaneurysms were observed. Pathological examination of the right internal thoracic artery specimen revealed mild intimal thickening and disruption of elastic fibers in the medial layer, both of which are characteristics of Behçet's disease. These findings indicated that the patient must be monitored carefully for postoperative pseudoaneurysm formation.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kagoshima University Graduate School of Medicine and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Kobayashi
authors.forename: Ryuzo
authors.initials: R
authors.lastname: Sakata
authors.forename: Tamahiro
authors.initials: T
authors.lastname: Kinjo
authors.forename: Goichi
authors.initials: G
authors.lastname: Yotsumoto
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Matsumoto
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Iguro
mesh_terms: D001528:Behcet Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged