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[A case of myocardial revascularization in a patient after renal transplantation]
M Yamamura1, T Miyamoto, H Murata
1Department of Thoracic Surgery, Hyogo College of Medicine, Nishinomiya, Japan.
Insights
This study reports the first case in Japan of coronary artery bypass grafting (CABG) in a renal transplant recipient with unstable angina. The patient experienced an uneventful recovery following the procedure.
Area of Science:
- Cardiovascular Surgery
- Nephrology
- Transplantation Medicine
Background:
- A 46-year-old female renal transplant recipient presented with unstable angina.
- The patient had undergone renal transplantation 10 years prior to presentation.
- Previous percutaneous coronary intervention (PTCI) had failed.
Observation:
- The patient was diagnosed with triple vessel disease.
- Coronary artery bypass grafting (CABG) was performed.
- Grafts included the right internal thoracic artery to the left anterior descending artery, left internal thoracic artery to the circumflex artery, and right gastroepiploic artery to the right coronary artery.
Findings:
- The patient's postoperative course was uneventful.
- This represents the first documented case of CABG in a renal transplant recipient in Japan.
Implications:
- Coronary artery bypass grafting is a viable option for renal transplant recipients with complex coronary artery disease.
- Successful surgical management can be achieved in this high-risk patient population.
- Further research is warranted to evaluate long-term outcomes.
Abstract:
A 46-year-old woman after renal transplantation 10 years ago underwent CABG using the right internal thoracic artery to LAD, the left internal thoracic artery to Circumflex and the right gastroepiploic artery to RCA, with the diagnosis of unstable angina (triple vessels disease) after failed PTCA. The postoperative course has been uneventful. To our knowledge, this is the first case who underwent GABG after renal transplantation in Japan.