title: [Off-pump coronary artery bypass grafting with large cerebral infarction; report of a case].
abstract: A 48-year-old male was consulted to our hospital on the next day when he was developed acute myocardial infarction (AMI). He developed cerebral infarction 26 years ago, and had left hemiparesis. Coronary angiogram revealed left main trunk and 2 vessels disease which was not amenable to catheter intervention, and brain computed tomography (CT) showed a very large infarction in right cerebrum. Off-pump coronary artery bypass grafting (OPCAB) double bypass grafting was performed. The paralysis did not get worse in the post operative course. He was discharged to his home. If the cerebral infarction is chronic phase with preserved neurological function, OPCAB may be recommended, even if it is large infarction.
authors: Department of Thoracic Surgery, Koseiren Takaoka Hospital, Takaoka, Japan.
authors: Noriyoshi
authors: N
authors: Yashiki
authors: Hiroshi
authors: H
authors: Saito
authors: Masahiro
authors: M
authors: Oshima
authors: Shigeyuki
authors: S
authors: Tomita
authors: Go
authors: G
authors: Watanabe
mesh_terms: D002544:Cerebral Infarction / Q000150:complications*; D047549:Coronary Artery Bypass, Off-Pump; D006801:Humans; D008297:Male; D008875:Middle Aged