Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Coronary Artery Bypass Rrafts in Two Renal Transplanted Patients

신장이식환자의 관상동맥우회로술 -2례 보고-

  • Jin, Ung (Department of Thoracic and Cardiovascular Surgery, Catholic University Medical College) ;
  • Yoon, Jeong-Seob (Department of Thoracic and Cardiovascular Surgery, Catholic University Medical College) ;
  • Jo, Keon-Hyon (Department of Thoracic and Cardiovascular Surgery, Catholic University Medical College) ;
  • Kwack, Moon-Sub (Department of Thoracic and Cardiovascular Surgery, Catholic University Medical College) ;
  • Kim, Se-Wha (Department of Thoracic and Cardiovascular Surgery, Catholic University Medical College)
  • 진웅 (가톨릭 의과대학 흉부외과학 교실) ;
  • 윤정섭 (가톨릭 의과대학 흉부외과학 교실) ;
  • 조건현 (가톨릭 의과대학 흉부외과학 교실) ;
  • 곽문섭 (가톨릭 의과대학 흉부외과학 교실) ;
  • 김세화 (가톨릭 의과대학 흉부외과학 교실)
  • Published : 1994.01.01
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Abstract

Doing CABG in patient with renal transplantation requires special concern to keep and preserve renal function safely during and after operation. We experienced two cases of CABG for treatment of myocardial ischemia. who underwent renal transplantation 2 and 3 years ago respectively. The first patient received single reversed saphenous vein graft at LAD and second one received double saphenous vein graft at LAD and OMI. Peri & postoperative urinary volume and renal function test were comparable with preoperative status in both cases. Although abnormal lipid metabolism due to long term use of immunosuppressive regimen act a causative role in development and progression of coronary artherosclerosis in renal transplantation patient, CABG can be done safely with some precaution including maintenance of adequate mean blood pressure and blood level of immunosupressive regimen during cardiopulmonary bypass.

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References

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