Coronary bypass using bilateral internal mammary arteries in an achondroplast

Coronary bypass grafting for ischemic heart disease in achondroplastic dwarfs is very rare. Shortage of veins and inadequate vein quality may cause difficulties during surgery. Only 2 cases of coronary bypass surgery in an achondroplastic dwarf, in which the left internal mammary artery and vein gra...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2015-01, Vol.23 (1), p.70-71
Main Authors: Alassal, Mohamed Abdulwahab, Youssef, Mostafa, Koudieh, Mohammed
Format: Article
Language:English
Subjects:
Achondroplasia - complications
Achondroplasia - diagnosis
Coronary Artery Bypass - methods
Coronary Artery Disease - complications
Coronary Artery Disease - diagnosis
Coronary Artery Disease - surgery
Humans
Internal Mammary-Coronary Artery Anastomosis
Male
Middle Aged
Saphenous Vein - transplantation
Treatment Outcome
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Summary:Coronary bypass grafting for ischemic heart disease in achondroplastic dwarfs is very rare. Shortage of veins and inadequate vein quality may cause difficulties during surgery. Only 2 cases of coronary bypass surgery in an achondroplastic dwarf, in which the left internal mammary artery and vein grafts were used, have been reported. We describe the case of a 55-year-old male achondroplastic dwarf who had triple-vessel coronary disease and underwent successful coronary bypass surgery using one saphenous vein graft and bilateral internal mammary artery grafts. The anatomic and surgical challenges in achondroplasia are highlighted.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492313499765