• J Card Surg · May 2005

    Case Reports

    Combined valve and coronary surgery in a patient with erythropoietic protoporphyria.

    • Esat Akinci, Vedat Erentug, Nilgun Bozbuga, Adil Polat, Denyan Mansuroglu, and Cevat Yakut.
    • Kosuyolu Heart and Research Hospital, Istanbul, Turkey.
    • J Card Surg. 2005 May 1;20(3):267-8.

    AbstractErythropoietic protoporphyria (EPP) is an autosomal dominant disorder of heme synthesis, causing excess of protoporphyrin in blood, skin, liver, and other organs. A 58-year-old male patient with EPP underwent aortic valve replacement and a concomitant aortocoronary bypass. The patient has been followed without complications due to EPP postoperatively. Cardiac surgery can safely be performed on patients with EPP by considering close attention not to stimulate porphyrin synthesis.

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