[Coronary ischemia caused by pseudoxanthoma elasticum and myocardial revascularization with double arterial graft].

Abstract

We present a case of an 18 year-old woman with pseudoxanthoma elasticum, who had a biopsy taken from a lesion. Although she was asymptomatic, we tried to rule out myocardial ischemia with a treadmill and cardiac gammagraphy with Talio. The isotopic studies and the ergometry were positive and the patient underwent coronariography. This study showed a severe triple-vessel disease. We did an angiography of the supraaortic arteries, mamarian artery, and mesenteric artery. These studies showed no obstructive lesions. The treatment of patient was a double by-pass with internal mammary artery and one by-pass with safena vein grafts with satisfactory results.

• Authors: J M García Acuña, M Vázquez Caamaño, A González Cid, J R González-Juanatey, A M López Lago, M Gil De La Peña
• Journal: Revista espanola de cardiologia (Rev Esp Cardiol) Vol. 54 Issue 7 Pg. 908-11 (Jul 2001) ISSN: 0300-8932 [Print] Spain
• Vernacular Title: Isquemia coronaria producida por seudoxantoma elástico y revascularización miocárdica con doble injerto arterial.
• PMID: 11446968 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adolescent
• Coronary Artery Bypass (methods)
• Coronary Disease (etiology, surgery)
• Female
• Humans
• Internal Mammary-Coronary Artery Anastomosis
• Pseudoxanthoma Elasticum (complications)
• Saphenous Vein (surgery)