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Ann Thorac Surg 1990;49:483-485
© 1990 The Society of Thoracic Surgeons
a Department of Cardiovascular Surgery and Pediatric Cardiology, Heart Institute of Japan, Tokyo, Japan
b 2nd Department of Medicine and Gastroenterology, Tokyo Women's Medical College, Tokyo, Japan
Accepted for publication August 31, 1989.
* Address reprint requests to Dr Endo, Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162, Japan.
A 15-year-old girl with pseudoxanthoma elasticum and associated severe coronary artery disease underwent double coronary artery bypass using left internal mammary artery and saphenous vein. Preoperatively the patient had life-threatening syncope and positive treadmill test results. The postoperative course was uneventful, and the patient has been doing well for 3 years. Pseudoxanthoma elasticum is a rare disease that can cause premature coronary arterial obstructive disease in children and adolescents.
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