Detecting occult coronary artery disease followed by early coronary artery bypass surgery in patients with diabetic retinopathy: Report from a diabetic retinocoronary clinic

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.jtcvs.2009.04.005 Byline: Takayuki Ohno (a), Osamu Kinoshita (a), Hideo Fujita (b), Satoshi Kato (c), Akira Hirose (c), Takashi Sigeeda (c), Kazuyoshi Otomo (c), Jiro Ando (b), Takashi Kadowaki (d), Makoto Araie (c), Ryozo Nagai (b), Shinichi Takamoto (a) Abbreviations: CABG, coronary artery bypass grafting; CAD, coronary artery disease; CT, computed tomography; DES, drug-eluting stent; DR, diabetic retinopathy; ECG, electrocardiography; ETT, exercise treadmill test; LAD, left anterior descending coronary artery; LMT, left main trunk; NPDR, nonproliferative diabetic retinopathy; PCI, percutaneous coronary intervention; PDR, proliferative diabetic retinopathy Abstract: We hypothesized that a large number of patients with diabetic retinopathy who could benefit greatly from early coronary artery bypass grafting would not be identified. Author Affiliation: (a) Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan (b) Department of Cardiology, University of Tokyo, Tokyo, Japan (c) Department of Ophthalmology, University of Tokyo, Tokyo, Japan (d) Department of Endocrinology and Metabolism, University of Tokyo, Tokyo, Japan Article History: Received 30 November 2008; Revised 19 March 2009; Accepted 1 April 2009