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European Journal of Cardio-Thoracic Surgery, Vol 10, 470-472, Copyright © 1996 by European Association for Cardio-thoracic Surgery

ARTICLES

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

R De Paulis, G Bognolo, F Tomai, C Bassano, M Tracey and L Chiariello
Division of Cardiac Surgery, Universita di Roma Tor Vergata, European Hospital, Italy.

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.

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