Off-Pump Coronary Revascularization Using Bilateral Internal Thoracic Arteries in A Patient with Paroxysmal Nocturnal Hemoglobinuria: A Case Report.
Juan Mariano VrancicManuel Roque CervettiJulián BenavidesDaniel NaviaPublished in: Brazilian journal of cardiovascular surgery (2019)
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.
Keyphrases
- coronary artery bypass grafting
- percutaneous coronary intervention
- coronary artery disease
- st elevation myocardial infarction
- atrial fibrillation
- case report
- blood pressure
- emergency department
- spinal cord
- obstructive sleep apnea
- coronary artery
- sleep apnea
- acute coronary syndrome
- catheter ablation
- sleep quality
- blood flow
- liver failure
- systematic review
- high resolution
- aortic stenosis
- risk factors
- hepatitis b virus
- transcatheter aortic valve replacement
- mechanical ventilation
- left ventricular
- extracorporeal membrane oxygenation