A Case of Coronary Artery Bypass Grafting for a Patient with Hereditary Protein S Deficiency.
10.4326/jjcvs.30.268
- VernacularTitle:先天性プロテインS欠乏症患者に対する冠血行再建術の1例
- Author:
Yasushi Takagi
;
Masaharu Yosikawa
;
Atsuo Maekawa
;
Yuichi Ueda
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2001;30(5):268-270
- CountryJapan
- Language:Japanese
-
Abstract:
We encountered a very rare case of a patient with hereditary protein S deficiency who underwent successful coronary artery bypass grafting (CABG). A 38-year-old man was admitted for scheduled coronary artery bypass grafting. Preoperative investigation showed protein S deficiency. He underwent two-vessel CABG surgery with regular cardiopulmonary bypass. After hemostasis, intravenous heparin was started. The dose of warfarin was gradually increased until the INR reached about 2.5. Then heparin was stopped. His postoperative course was uneventful. There was no thromboembolic event. Both grafts were patent.