Off-Pump Coronary Revascularization Using Bilateral Internal ThoracicArteries in A Patient with Paroxysmal Nocturnal Hemoglobinuria: A CaseReport

摘要

Paroxysmal nocturnal hemoglobinuria (PNH) is an ultra-orphan disease. We report the first case in the literature of Off-Pump Coronary Revascularization Using Bilateral Internal Thoracic Arteries in a patient with paroxysmal nocturnal hemoglobinuria.A 36-year-old man came to the emergency department with acute non-ST elevation myocardial infarction (NSTEMI). He presented paroxysmal nocturnal hemoglobinuria diagnosed in 2016. Coronary angiography revealed tripple vessel disease.The conduits used for coronary revascularization were both internal thoracic arteries (left ITA-right ITA [LITA-RITA]).We consider that off-pump coronary artery bypass grafting (OPCABG) using Bilateral Internal Thoracic Arteries (BITA) can be safely performed with low in-hospital mortality and complications rates, even in patient with PNH.