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Ann Thorac Surg 1992;53:510-512
© 1992 The Society of Thoracic Surgeons

Articles

Coronary bypass using arterial grafts in homozygous familial hypercholesterolemia

Toshiki Takahashi, MD, Susumu Nakano, MD, Mitsunori Kaneko, MD, Hikaru Matsuda, MD*, Kazuhiro Taniguchi, MD, Tadashi Nakamura, MD, Yuji Matsuzawa, MD

First Department of Surgery and Second Department of Medicine, Osaka University Medical School, Osaka, Japan

Accepted for publication August 12, 1991.

* Address reprint requests to Dr Matsuda, First Department of Surgery, Osaka University Medical School, 1-1-50, Fukushima, Fukushima-ku, Osaka 553, Japan.

A 25-year-old man with homozygous familial hypercholesterolemia who had severe coronary artery disease underwent coronary revascularization by combined arterial grafts among bilateral internal mammary arteries and gastroepiplosartery. Early postoperative coronary angiography showed all the grafts patent without any stenosis. Because no atherosclerotic changes were seen in the specimens of each graft used, combined arterial grafting may have a role in the treatment of coronary artery disease in homozygous familial hypercholesterolemia.




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 Ann. Thorac. Surg.Home page
T. Takahashi, S. Nakano, Y. Shimazaki, M. Kaneko, N. Hirata, T. Nakamura, Y. Matsuzawa, S. Kitamura, and H. Matsuda
Long-term appraisal of coronary bypass operations in familial hypercholesterolemia
Ann. Thorac. Surg., September 1, 1993; 56(3): 499 - 505.
[Abstract] [PDF]


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