Key result
Urgent off-pump coronary artery bypass surgery was successfully performed in a patient with symptomatic meningioma and unstable angina without further neurological deterioration.
Why the study?
Preoperative complicated neurological issues in patients requiring off pump coronary artery bypass grafting make perioperative management challenging and require extensive care and precautions.
Case Report (n=1)
OPCAB can be safely performed in patients with severe coronary artery disease and coexisting intracranial tumors by avoiding cardiopulmonary bypass and its associated neurological risks.
The outcome after off pump coronary artery bypass grafting (OPCAB) surgery has been promising. These good outcomes relate to the benefits of avoiding extra corporeal circulation. Some of the reported advantages include a lower incidence of renal complications, pulmonary complication, adverse neurological event, reduced transfusions requirement and attenuation of the systemic inflammatory response. If the patient has associated preoperative complicated neurological issues, then perioperative management will be more challenging and requires extensive care and precautions.We present a case with symptomatic meningioma and unstable angina who underwent successful urgent OPCAB surgery without further neurological deterioration.
No takes yet. Share an insight, caveat, or question.
Rawat et al. (2019) conducted a case report in Symptomatic meningioma and unstable angina (n=1). Off-pump coronary artery bypass surgery (OPCAB) was evaluated on Surgical success and neurological outcome. Urgent off-pump coronary artery bypass surgery was successfully performed in a patient with symptomatic meningioma and unstable angina without further neurological deterioration.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: