Coronary Artery Bypass Grafting in a Patient with Unstable Angina Pectoris and Bronchiectasis
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概要
- 論文の詳細を見る
Bronchiectasis is characterized by the abnormal and permanent dilatation of bronchi. Clinical manifestations of bronchiectasis include persistent or recurrent cough, purulent sputum, hemosputum, and hemoptysis. A 75-year-old man with bronchiectasis required coronary bypass grafting for unstable angina pectoris with severe stenosis of the left main trunk. Computed tomography showed fistulae between the dilated bronchial arteries and the left pulmonary artery. Cardiac catheter examination showed signifi cant left-right shunt and left ventricular dilatation. To avoid perioperative massive hemoptysis, embolizations of 2 bronchial arteries and an inferior phrenic artery were performed preceding the coronary artery bypass grafting. Both transcatheter embolization and coronary artery bypass grafting were successfully performed without any complications. Herein, we illustrate a very rare case of bronchiectasis in a patient with unstable angina pectoris who underwent transcatheter embolization for a systemic-pulmonary shunt preceding coronary artery bypass grafting with cardiopulmonary bypass.
- Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文
著者
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Oda Takeshi
Department Of Astronomy Kyoto University
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Matsuura Yasuo
Department Of Radiology Kitakyushu Municipal Medical Center
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Yasunaga Hiroshi
Department Of Cardiovascular Surgery St Mary's Hospital
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Wada Yoshihiro
Department Of Applied Biochemistry Faculty Of Applied Biological Science Hiroshima University
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Zaima Yasuyuki
Department Of Cardiovascular Surgery St. Mary's Hospital
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TAKASEYA Tohru
Department of Biomedical Engineering/ND20, Lerner Research Institute, Cleveland Clinic
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Wada Yoshihiro
Department of Cardiovascular Surgery, St. Marys Hospital, Fukuoka, Japan
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Watanabe Genki
Department of Cardiovascular Surgery, St. Marys Hospital, Fukuoka, Japan
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Yasunaga Hiroshi
Department of Cardiovascular Surgery, St. Marys Hospital, Fukuoka, Japan
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Matsuura Yasuo
Department of Radiology, St. Marys Hospital, Fukuoka, Japan
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