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KMID : 0364019940270010048
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 1 p.48 ~ p.51
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Coronary Artery Bypass Grafts in Two Renal Transplanted Patients
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진웅
윤정섭/조건현/곽문섭/김세화
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Abstract
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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 OM1.
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. (Korean J Thoracic Cardiovas Surg 1994; 27:48-51)
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KEYWORD
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