Long-term left internal mammary artery graft patency for coronary artery disease associated with pseudoxanthoma elasticum.
case_report · Level V
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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.
Medical subject headings
- Coronary Artery Bypass, Off-Pump
- Coronary Stenosis
- Internal Mammary-Coronary Artery Anastomosis
- Pseudoxanthoma Elasticum