Off-Pump Coronary Artery Bypass Grafting in a Patient with Severe Cerebrovascular Injuries from Human Immunodeficiency Virus

Katsuya Kawagoe＊	Eisaku Nakamura＊	Shuji Tachioka＊
Yosuke Hisashi＊	Takayuki Ueno＊	Kunihide Nakamura＊

（Department of Cardiovascular Surgery, Miyazaki Prefectural Miyazaki Hospital＊, Miyazaki, Japan）

A 50-year-old man diagnosed with human immunodeficiency virus had been treated with combination antiretroviral therapy. Additionally, he was diagnosed with acute myocardial infarction 9 months earlier and underwent percutaneous coronary intervention. He was allergic to contrast media and had coronary lesions on three branches. Preoperative magnetic resonance imaging revealed severe cerebrovascular injuries. He was admitted to our hospital, and off-pump coronary bypass grafting was performed. The patient was discharged 10 days after the surgery with no progression to cerebrovascular accidents, bacterial infections, or acquired immunodeficiency syndrome.

 

Jpn. J. Cardiovasc. Surg. 50:378-382（2021）

Keywords：human immunodeficiency virus;off-pump coronary bypass grafting;combination antiretroviral therapy