On-Pump Coronary Artery Bypass Grafting in a Patient With Renal Transplant and Familial Hypercholesterolemia

Fatih Aygun

Abstract


A 19-year-old male patient presented to the cardiology clinic with complaints of chest pain during efforts for a month. He had a renal transplantation when he was 12 years old. He had been diagnosed with familial hypercholesterolemia. On-pump coronary artery bypass grafting (CABG) surgery (LIMA-LAD, DI, Cx (OMI), RCA (PD)) was performed. On-pump CABG can be performed successfully in patient with renal transplant. However, renal recipients have higher risk of infection and renal damage compared with patients without transplants. In addition, as in our case, familial hypercholesterolemia would affect the clinical outcome negatively. I would like to think the sensitivity and close follow-up in standard CABG cases, and it should be applied to the highest level in such patients.




J Med Cases. 2018;9(1):8-10
doi: https://doi.org/10.14740/jmc2878w


Keywords


Renal transplantation; Familial hypercholesterolemia; Coronary atherosclerosis; Coronary artery bypass grafting

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