Journal Basic Info

  • Impact Factor: 1.809**
  • H-Index: 6
  • ISSN: 2474-1655
  • DOI: 10.25107/2474-1655
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Anesthesiology and Pain Medicine
  •  Endocrinology
  •  Physical Medicine & Rehabilitation
  •  Sleep Medicine and Disorders
  •  Dermatology and Cosmetology
  •  Diabetology
  •  Sexual Health
  •  Women’s Health Care

Abstract

Citation: Ann Clin Case Rep. 2018;3(1):1503.DOI: 10.25107/2474-1655.1503

Off-Pump Coronary Revascularization Using Bilateral Internal Thoracic Arteries in a Patient with Paroxismal Nocturnal Hemoglobinuria

Mariano Vrancic, Manuel Roque Cervetti, Julián Benavides and Daniel Navia

Department of Cardiac Surgery, Instituto Cardiovascular de Buenos Aires, Olazabal 2706, P.C: 1428, Buenos Aires, Argentina

*Correspondance to: Manuel Roque Cervetti 

 PDF  Full Text Case Report | Open Access

Abstract:

Paroxysmal Nocturnal Haemoglobinuria (PNH), an ultra-orphan disease with a prevalence of 15.9 per million in Europe [1]. We report the first case in the literature of Off-Pump Coronary Revascularization Using Bilateral Internal Thoracic Arteries in a patient with paroxismal nocturnal hemoglobinuria.A 36-year-old man presented to the emergency departmentfor acute non- ST elevation myocardial infarction (NSTEMI).The patient presented paroxismal nocturnal hemoglobinuria diagnosed in 2016. Coronary angiography revealed a moderate stenosesostial and proximal in the left anterior descending (LAD) coronary artery. There were chronicle stenoses of the left circumflex coronary artery (LCX) and injury of 95% of the RCA. The conduits used for coronary revascularization were both internal thoracic arteries (left ITA–right ITA [LITA-RITA]). We consider that OPCABG using BITA can be safely performed with low in-hospital mortality and complications rates, even in patient with PNH.

Keywords:

Off-pump coronary revascularization; Bilateral internal thoracic arteries; Paroxismal nocturnal hemoglobinuria

Cite the Article:

Vrancic M, Cervetti MR, Benavides J, Navia D. Off-Pump Coronary Revascularization Using Bilateral Internal Thoracic Arteries in a Patient with Paroxismal Nocturnal Hemoglobinuria. Ann Clin Case Rep. 2018; 3: 1503.

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