Off-Pump coronary revascularization using bilateral internal thoracic arteries in a patient with paroxysmal nocturnal hemoglobinuria: a case report
Rev. bras. cir. cardiovasc
;
34(4): 488-490, July-Aug. 2019. tab, graf
Article
in English
| LILACS
| ID: biblio-1020502
ABSTRACT
Abstract Paroxysmal nocturnal hemoglobinuria (PNH) is an ultra-orphan disease. We report the first case in the literature of Off-Pump Coronary Revascularization Using Bilateral Internal Thoracic Arteries in a patient with paroxysmal nocturnal hemoglobinuria. A 36-year-old man came to the emergency department with acute non-ST elevation myocardial infarction (NSTEMI). He presented paroxysmal nocturnal hemoglobinuria diagnosed in 2016. Coronary angiography revealed tripple vessel disease. The conduits used for coronary revascularization were both internal thoracic arteries (left ITA-right ITA [LITA-RITA]). We consider that off-pump coronary artery bypass grafting (OPCABG) using Bilateral Internal Thoracic Arteries (BITA) can be safely performed with low in-hospital mortality and complications rates, even in patient with PNH.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Coronary Disease
/
Coronary Artery Bypass, Off-Pump
/
Hemoglobinuria, Paroxysmal
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2019
Type:
Article
Affiliation country:
Argentina
Institution/Affiliation country:
Instituto Cardiovascular de Buenos Aires/AR
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