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Ivan Aleksic
Jarowit A. Piotrowski
Markus Kamler
Ulf Herold
Heinz G. Jakob
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Right arrow Transplantation - heart

Ann Thorac Surg 2004;77:1433-1434
© 2004 The Society of Thoracic Surgeons

Case report

Minimally invasive direct coronary artery bypass in a cardiac transplant recipient with allograft vasculopathy

Ivan Aleksic, MD, PhDa*, Jarowit A. Piotrowski, MDa, Markus Kamler, MDa, Ulf Herold, MDa, Heinz G. Jakob, MD, PhDa

a Department of Thoracic and Cardiovascular Surgery, University Hospital Essen, Essen, Germany

Accepted for publication May 21, 2003.

* Address reprint requests to Dr Aleksic, Department of Thoracic and Cardiovascular Surgery, University Hospital Essen, Hufelandstr 55, 45122 Essen, Germany
e-mail: ivan.aleksic{at}uni-essen.de

Coronary bypass operation with cardiopulmonary bypass has provided disappointing results for the treatment of cardiac allograft vasculopathy (CAV). We describe a 61-year-old man who underwent heart transplantation for secondary dilated cardiomyopathy in 1995. Consecutively, CAV developed with clinically silent left anterior descending occlusion. After angiographic diagnosis in 1998 he successfully underwent a minimally invasive direct coronary artery bypass procedure. Annual coronary angiography showed a patent left internal mammary to left anterior descending bypass graft more than 4 years after operation. In select cases, minimally invasive direct coronary artery bypass is a therapeutic option for the treatment of CAV.






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