Document Detail

Off-pump coronary artery bypass grafting in a patient with Behçet's disease.
MedLine Citation:
PMID:  15609645     Owner:  NLM     Status:  MEDLINE    
We report the case of a 58-year-old man with Behçet's disease who developed chest pain. Coronary angiography showed severe triple-vessel disease, and the patient was transferred to our department for urgent coronary artery bypass grafting. Because of the risk of anastomotic leakage or pseudoaneurysm formation, we performed off-pump coronary artery bypass grafting with the aortic no-touch technique. Postoperative coronary angiography showed that all the grafts were patent and no anastomotic pseudoaneurysms were observed. Pathological examination of the right internal thoracic artery specimen revealed mild intimal thickening and disruption of elastic fibers in the medial layer, both of which are characteristics of Behçet's disease. These findings indicated that the patient must be monitored carefully for postoperative pseudoaneurysm formation.
Akira Kobayashi; Ryuzo Sakata; Tamahiro Kinjo; Goichi Yotsumoto; Kazuhisa Matsumoto; Yoshifumi Iguro
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi     Volume:  52     ISSN:  1344-4964     ISO Abbreviation:  Jpn. J. Thorac. Cardiovasc. Surg.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-12-21     Completed Date:  2005-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884261     Medline TA:  Jpn J Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  527-9     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Surgery, Kagoshima University Graduate School of Medicine and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.
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MeSH Terms
Behcet Syndrome / radiography,  surgery*
Coronary Angiography
Coronary Artery Bypass / methods*
Coronary Disease / surgery*
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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