A rare case of left main coronary stenosis and neutropenia treated with G-CSF prior to CABG.
A 70-year-old male known with myelodysplastic syndrome (MDS) was admitted with effort angina and fever, which developed into unstable angina. On coronary angiography a critical stenosis of the left main coronary artery and 75% stenosis of the right coronary artery were found. On complete blood count the number of leukocytes was 1600/µl. We administered granulocyte colony-stimulating factor (G-CSF) twice daily to increase the number of leucocytes. After two days the number of leukocytes had increased to 8700/µl. The patient was admitted to the operating room and off-pump coronary artery bypass grafting was performed successfully.
Department of Cardiovascular Surgery, American Hospital, Tirana, Albania. raif.cavolli@gmail.com
R
R
Cavolli
B
B
Uymaz
S
S
Memishaj
K
K
Kaja
G
G
Ozerdem
D000368:Aged; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D016179:Granulocyte Colony-Stimulating Factor / Q000627:therapeutic use*; D006801:Humans; D007958:Leukocyte Count; D008297:Male; D009503:Neutropenia / Q000097:blood / Q000150:complications / Q000188:drug therapy*; D011300:Preoperative Care; D012720:Severity of Illness Index; D016896:Treatment Outcome
D016179:Granulocyte Colony-Stimulating Factor