Early coronary artery bypass graft thrombosis in a patient with protein S deficiency.

A 59-year-old white man underwent multiple coronary artery bypass grafts (CABGs) on an emergency basis for severe stenosis of the left main, and occlusion of the right coronary, artery. One month after operation recurrence of angina prompted a new diagnostic evaluation. Occlusion of the grafts was detected at angiography. Accurate hematological screening before reoperation showed decreased levels of protein S. One year after his second operation, the patient is asymptomatic on oral anticoagulant therapy. Tallium-201 scintigraphy shows normal myocardial perfusion.
AuthorsR De Paulis, G Bognolo, F Tomai, C Bassano, M Tracey, L Chiariello
JournalEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (Eur J Cardiothorac Surg) Vol. 10 Issue 6 Pg. 470-2 ( 1996) ISSN: 1010-7940 [Print] NETHERLANDS
PMID8817147 (Publication Type: Case Reports, Journal Article)
  • Angina Pectoris (blood, surgery)
  • Blood Coagulation Tests
  • Coronary Artery Bypass
  • Graft Occlusion, Vascular (blood, surgery)
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction (blood, surgery)
  • Protein S Deficiency (blood, complications, surgery)
  • Recurrence
  • Reoperation
  • Risk Factors

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