Long-term left internal mammary artery graft patency for coronary artery disease associated with pseudoxanthoma elasticum.

Abstract

Pseudoxanthoma elasticum (PXE) is a rare, inherited connective tissue disorder with numerous systemic manifestations that include premature coronary artery disease. Coronary artery bypass grafting (CABG) is known to be beneficial in patients with PXE-related coronary artery disease. In these patients, however, the suitability of arterial conduits, including the internal mammary artery, has been controversial. We present a patient with PXE-related coronary artery disease who has had long-term patency of a left internal mammary artery (LIMA) graft after an off-pump CABG procedure in which LIMA and bilateral radial artery conduits were used.

• Authors: Howard K Song, Erez Sharoni, Byron Williams Jr, Robert A Guyton, John D Puskas
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 78 Issue 2 Pg. 691-3 (Aug 2004) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 15276551 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Angina, Unstable (surgery)
• Coronary Artery Bypass, Off-Pump
• Coronary Stenosis (etiology, surgery)
• Female
• Follow-Up Studies
• Graft Occlusion, Vascular (surgery)
• Humans
• Internal Mammary-Coronary Artery Anastomosis (methods)
• Pseudoxanthoma Elasticum (complications)
• Radial Artery (surgery)
• Stents
• Vascular Patency