| A Case of Coronary Artery Bypass
Grafting for a Patient with Hereditary Protein S Deficiency |
(Department of Cardiothoracic Surgery, Nagoya University
School of Medicine, Nagoya, Japan)
| Yasushi Takagi |
Masaharu Yosikawa |
Atsuo Maekawa |
| Yuichi Ueda |
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We encountered a very rare case
of a patient with hereditary protein S deficiency who underwent
successful coronary artery bypass grafting (CABG). A 38-year-old
man was admitted for scheduled coronary artery bypass grafting.
Preoperative investigation showed protein S deficiency. He underwent
two-vessel CABG surgery with regular cardiopulmonary bypass.
After hemostasis, intravenous heparin was started. The dose of
warfarin was gradually increased until the INR reached about
2.5. Then heparin was stopped. His postoperative course was uneventful.
There was no thromboembolic event. Both grafts were patent.
Jpn. J. Cardiovasc. Surg. 30: 268-270 (2001) |
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