Graft thrombosis after off-pump coronary artery bypass grafting: Postoperative challenges and implications

Abstract

Perioperative graft failure is an important cause of myocardial ischemia following coronary artery bypass grafting. Early diagnosis of graft thrombosis is of paramount importance for limiting the sequelae of postoperative myocardial infarction (PMI). We present a case of PMI following off-pump coronary artery bypass grafting resulting from saphenous venous graft thrombosis.

Keywords

• Graft thrombosis
• heparin
• off-pump coronary artery bypass grafting
• postoperative myocardial infarction
• re-revascularization