Journal Basic Info
- Impact Factor: 1.809**
- H-Index: 6
- ISSN: 2474-1655
- DOI: 10.25107/2474-1655
Major Scope
- Depression
- Otolaryngology
- Sexual Health
- Vascular Medicine
- Hematology
- Trauma
- Cardio-Thoracic Surgery
- Breast Neoplasms
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.