A Case of Emergency Off-Pump Coronary Artery Bypass Grafting after DES Stenting
10.4326/jjcvs.36.166
- VernacularTitle:薬剤溶解性ステント（ＤＥＳ）挿入後に緊急ＯＰＣＡＢを行った１例
- Author:
Hidehiko Iwahashi
;
Tadashi Tashiro
;
Noritsugu Morishige
;
Yoshio Hayashida
;
Kazuma Takeuchi
;
Nobuhisa Ito
;
Koji Akasu
;
Go Kuwahara
- Publication Type:Journal Article
- Keywords:
DES;
CABG;
OPCAB
- From:Japanese Journal of Cardiovascular Surgery
2007;36(3):166-169
- CountryJapan
- Language:Japanese
-
Abstract:
A 75-year-old man was admitted with symptoms of unstable angina pectoris. The patient was initially treated with ticlopidine and aspirin after first undergoing percutaneous coronary intervention (PCI) by means of a drug eluting stent (DES). Coronary angiography thereafter showed re-stenosis in left main trunk and two-vessel disease. As a result, emergency off-pump coronary artery bypass grafting (OPCAB) was therefore performed. However, major bleeding (3, 245ml) occurred after OPCAB. Therefore, a re-thoracotomy operation had to be performed to stop the bleeding. Based on the above findings it is important for surgeons to keep in mind that pre-operative ticlopidine administration can increase the risk of re-operation for hemostasis, while also potentially increasing and the requirements for blood and blood product transfusion both during and after OPCAB surgery.
