Michel, SebastianVicol, CalinReichart, BrunoAbicht, JanUeberfuhr, PeterBeiras-Fernandez, AndresKaczmarek, Ingo2025-12-162009-12Experimental and Clinical Transplantation, Cilt, 7, Sayı, 4, 2009 ss. 261-2631304-0855https://hdl.handle.net/11727/14157Cardiac allograft vasculopathy is a severe complication after heart transplant, and is the major cause of death in patients surviving 1 year after transplant. We present a 59-year-old patient undergoing off-pump, coronary artery bypass surgery, 8 years after heart transplant. Owing to toxic liver disease, the lipid lowering therapy with statins had to be stopped 6 years after transplant, and coronary artery disease developed rapidly within 2 years. Off-pump, coronary bypass surgery was performed using a new, multisuction cardiac positioner; a disposable stabilizer; and a proximal seal system to avoid clamping of the aorta. The patient received 3 bypass grafts: the left internal thoracic artery; to the left anterior descending coronary artery; 1 saphenous vein graft to the marginal branch of the circumflex artery; and 1 saphenous vein graft to the right coronary artery. His postoperative course was uneventful.en-USCardiac allograft vasculopathyHeart transplantCoronary artery diseaseBypass coronary surgeryArticle742146-8427