Off-pump coronary artery bypass grafting in a patient with liver cirrhosis
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We report a case of unstable angina pectoris and alcohol-related Child-Pugh class B cirrhosis. The patient was a 60-year-old man who was admitted to hospital with chest pain. He had previously been diagnosed to have Child B cirrhosis due to alcoholic liver dysfunction at 58 years of age. He also had experienced ruptured esophageal varices, moderate ascites, and hyperammonemia. We performed percutaneous catheter intervention; however, he developed re-stenosis in the right coronary artery, and progression in the disease in other coronary arteries. We then performed coronary artery bypass grafting on the beating heart without cardiopulmonary bypass. He was discharged on the 13th postoperative day without any complications. This case demonstrated that off-pump coronary artery bypass grafting was safe for such a patient.
Key wordsoff-pump coronary artery bypass grafting liver cirrhosis Child-Pugh class B
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- 4.Toyoda Y, Okada M, Sugimoto T, Yoshida M, Ataka K, Yamashita C. Successful surgical treatment of cardiac cirrhosis. Tricuspid surgery and plasma exchange. J Cardiovasc Surg 1996; 37: 305–7.Google Scholar
- 8.Shibata Y, Baba T, Ogata K, Goto T, Kukita I, Sakata R. Anesthetic management for cardiac surgery in patients with liver cirrhosis. J Clin Anesth 1994; 18: 187–189.Google Scholar
- 9.Shitijo T, Oba O, Yunoki K, Inoue M, Suezawa T, Honjo S, et al. Double valve replacement without blood transfusion in a case complicated with liver cirrhosis and pancytopenia (Eng abstr). Kyobu Geka 2000; 9: 784–6.Google Scholar