Yıl 2019, Cilt 5, Sayı 2, Sayfalar 424 - 427 2019-03-04

Coronary artery bypass grafting in a renal transplant patient: case report

Kıvanç Atılgan [1] , Ertan Demirdaş [2] , Mediha Boran [3] , Zafer Cengiz Er [4] , Ferit Çiçekçioğlu [5]

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The patients with end-stage renal disease have an increased risk of atherosclerosis and the probability of cardiovascular diseases. Due to the use of immunosuppressive agents, the patients having renal graft carry an additional risk of atherosclerosis or endocarditis. A 67-year-old male patient with a history of renal transplantation was referred to our hospital with a severe chest pain and dyspnea. After diagnosing severe ischemic coronary artery disease by coronary angiography, the patient underwent a successful operation of a single vessel coronary artery bypass grafting (CABG) in beating heart. Up to 20% of post-renal transplantation mortality is attributed to cardiovascular diseases. Graft rejection, the need of hemodialysis, perioperative infection are some of the major complications for renal transplant patients undergoing CABG surgery. Off-pump CABG (OPCABG) surgery is a less invasive technique in comparison with CABG with cardiopulmonary bypass (CPB), and protects the patient from negative effects of CPB such as complement system activation, inflammatory mediator secretion, thrombocytopenia, clotting disorders. We recommend to prefer OPCABG and have preoperative prophylaxis in order to avoid both perioperative infection and renal graft rejection in renal transplant patients undergoing CABG surgery.

Coronary artery bypass grafting, renal transplant, cardiopulmonary bypass, beating heart, immunosuppressive treatment
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Orcid: 0000-0001-9907-9879
Yazar: Kıvanç Atılgan (Sorumlu Yazar)
Kurum: Department of Cardiovascular Surgery, Bozok University School of Medicine, Yozgat, Turkey
Ülke: Turkey


Orcid: 0000-0002-4119-613X
Yazar: Ertan Demirdaş
Kurum: Department of Cardiovascular Surgery, Bozok University School of Medicine, Yozgat, Turkey
Ülke: Turkey


Orcid: 0000-0001-6351-5544
Yazar: Mediha Boran
Kurum: Department of Nephrology, Bozok University School of Medicine, Yozgat, Turkey
Ülke: Turkey


Orcid: 0000-0001-7129-1157
Yazar: Zafer Cengiz Er
Kurum: Department of Cardiovascular Surgery, Bozok University School of Medicine, Yozgat, Turkey
Ülke: Turkey


Orcid: 0000-0002-4809-0100
Yazar: Ferit Çiçekçioğlu
Kurum: Department of Cardiovascular Surgery, Bozok University School of Medicine, Yozgat, Turkey
Ülke: Turkey


Bibtex @olgu sunumu { eurj386681, journal = {The European Research Journal}, issn = {}, eissn = {2149-3189}, address = {Sağlık Araştırmaları ve Stratejileri Derneği}, year = {2019}, volume = {5}, pages = {424 - 427}, doi = {10.18621/eurj.386681}, title = {Coronary artery bypass grafting in a renal transplant patient: case report}, key = {cite}, author = {Atılgan, Kıvanç and Demirdaş, Ertan and Boran, Mediha and Er, Zafer Cengiz and Çiçekçioğlu, Ferit} }
APA Atılgan, K , Demirdaş, E , Boran, M , Er, Z , Çiçekçioğlu, F . (2019). Coronary artery bypass grafting in a renal transplant patient: case report. The European Research Journal, 5 (2), 424-427. DOI: 10.18621/eurj.386681
MLA Atılgan, K , Demirdaş, E , Boran, M , Er, Z , Çiçekçioğlu, F . "Coronary artery bypass grafting in a renal transplant patient: case report". The European Research Journal 5 (2019): 424-427 <http://dergipark.gov.tr/eurj/issue/41339/386681>
Chicago Atılgan, K , Demirdaş, E , Boran, M , Er, Z , Çiçekçioğlu, F . "Coronary artery bypass grafting in a renal transplant patient: case report". The European Research Journal 5 (2019): 424-427
RIS TY - JOUR T1 - Coronary artery bypass grafting in a renal transplant patient: case report AU - Kıvanç Atılgan , Ertan Demirdaş , Mediha Boran , Zafer Cengiz Er , Ferit Çiçekçioğlu Y1 - 2019 PY - 2019 N1 - doi: 10.18621/eurj.386681 DO - 10.18621/eurj.386681 T2 - The European Research Journal JF - Journal JO - JOR SP - 424 EP - 427 VL - 5 IS - 2 SN - -2149-3189 M3 - doi: 10.18621/eurj.386681 UR - http://dx.doi.org/10.18621/eurj.386681 Y2 - 2018 ER -
EndNote %0 The European Research Journal Coronary artery bypass grafting in a renal transplant patient: case report %A Kıvanç Atılgan , Ertan Demirdaş , Mediha Boran , Zafer Cengiz Er , Ferit Çiçekçioğlu %T Coronary artery bypass grafting in a renal transplant patient: case report %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 2 %R doi: 10.18621/eurj.386681 %U 10.18621/eurj.386681
ISNAD Atılgan, Kıvanç , Demirdaş, Ertan , Boran, Mediha , Er, Zafer Cengiz , Çiçekçioğlu, Ferit . "Coronary artery bypass grafting in a renal transplant patient: case report". The European Research Journal 5 / 2 (Mart 2019): 424-427. http://dx.doi.org/10.18621/eurj.386681