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 

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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.