[Coronary Artery Bypass Grafting complicated with sternocostoclavicular hyperostosis;Report of a Case].

Abstract

The patient was 72-year-old man, who had old myocardial infarction, diabetes mellitus, dyslipidemia, hypertension and chronic obstructive pulmonary disease. He was complicated with congestive heart failure, and multi-vessel coronary artery disease and moderate aortic valve stenosis and regurgitation were diagnosed. We performed coronary artery bypass grafting(CABG) and aortic valve replacement. Intraoperative findings showed severe adhesions and tissue fibrosis around sternum. It was very difficult to dissect adhesions around left internal thoracic artery (LITA). LITA was injured, and great saphenous vein was anastomosed to left anterior descending coronary artery. Sternocostoclavicular hyperostosis was diagnosed on computed tomography( CT) findings such as remarkably thickened ster-num and adhesion of sternoclavicular joint. Postoperative course was complicated by osteomyelysis and necrosis of left side skin incision, for which omentopexy was needed. Sternocostoclavicular hyperostosis is rare disease, but we should recognize in preoperative evaluation.

• Authors: Kazutaka Horiuchi, Syunsuke Nakata, Satsuki Komoda, Takeshi Yuasa
• Journal: Kyobu geka. The Japanese journal of thoracic surgery (Kyobu Geka) Vol. 72 Issue 9 Pg. 698-701 (Sep 2019) ISSN: 0021-5252 [Print] Japan
• PMID: 31506412 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Coronary Artery Bypass
• Coronary Artery Disease
• Humans
• Hyperostosis, Sternocostoclavicular
• Male
• Mammary Arteries
• Saphenous Vein