Year 2019, Volume 5, Issue 2, Pages 424 - 427 2019-03-04

Coronary artery bypass grafting in a renal transplant patient: case report

Kıvanç Atılgan [1] , Ertan Demirdaş [2] , Mediha Boran [3] , Zafer Cengiz Er [4] , Ferit Çiçekçioğlu [5]

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The patients with end-stage renal disease have an increased risk of atherosclerosis and the probability of cardiovascular diseases. Due to the use of immunosuppressive agents, the patients having renal graft carry an additional risk of atherosclerosis or endocarditis. A 67-year-old male patient with a history of renal transplantation was referred to our hospital with a severe chest pain and dyspnea. After diagnosing severe ischemic coronary artery disease by coronary angiography, the patient underwent a successful operation of a single vessel coronary artery bypass grafting (CABG) in beating heart. Up to 20% of post-renal transplantation mortality is attributed to cardiovascular diseases. Graft rejection, the need of hemodialysis, perioperative infection are some of the major complications for renal transplant patients undergoing CABG surgery. Off-pump CABG (OPCABG) surgery is a less invasive technique in comparison with CABG with cardiopulmonary bypass (CPB), and protects the patient from negative effects of CPB such as complement system activation, inflammatory mediator secretion, thrombocytopenia, clotting disorders. We recommend to prefer OPCABG and have preoperative prophylaxis in order to avoid both perioperative infection and renal graft rejection in renal transplant patients undergoing CABG surgery.

Coronary artery bypass grafting, renal transplant, cardiopulmonary bypass, beating heart, immunosuppressive treatment
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Case Reports
Authors

Orcid: 0000-0001-9907-9879
Author: Kıvanç Atılgan (Primary Author)
Institution: Department of Cardiovascular Surgery, Bozok University School of Medicine, Yozgat, Turkey
Country: Turkey


Orcid: 0000-0002-4119-613X
Author: Ertan Demirdaş
Institution: Department of Cardiovascular Surgery, Bozok University School of Medicine, Yozgat, Turkey
Country: Turkey


Orcid: 0000-0001-6351-5544
Author: Mediha Boran
Institution: Department of Nephrology, Bozok University School of Medicine, Yozgat, Turkey
Country: Turkey


Orcid: 0000-0001-7129-1157
Author: Zafer Cengiz Er
Institution: Department of Cardiovascular Surgery, Bozok University School of Medicine, Yozgat, Turkey
Country: Turkey


Orcid: 0000-0002-4809-0100
Author: Ferit Çiçekçioğlu
Institution: Department of Cardiovascular Surgery, Bozok University School of Medicine, Yozgat, Turkey
Country: Turkey


Dates

Publication Date: March 4, 2019

EndNote %0 The European Research Journal Coronary artery bypass grafting in a renal transplant patient: case report %A Kıvanç Atılgan , Ertan Demirdaş , Mediha Boran , Zafer Cengiz Er , Ferit Çiçekçioğlu %T Coronary artery bypass grafting in a renal transplant patient: case report %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 2 %R doi: 10.18621/eurj.386681 %U 10.18621/eurj.386681