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Ann Thorac Surg 1998;66:1424-1426
© 1998 The Society of Thoracic Surgeons

Case Reports

Internal thoracic artery atherosclerosis after coarctation repair in an adult

Mario Castaño, MDa, Jacobo Silva, MDa, Ramón Fortuny, MDa, Javier López, MDa, José L. Vallejo, MDa

a Department of Cardiovascular Surgery, Hospital General Universitario Gregorio Marañón, Madrid, Spain

Accepted for publication April 10, 1998.

Address reprint requests to Dr Castaño, C/Curití, 10, 28033 Madrid, Spain

We report a rare case of a patient with an unsuitable grossly atherosclerotic and extensively calcified right internal thoracic artery found during a coronary bypass grafting operation. He had undergone an aortic coarctation repair 35 years before, with long-term systemic hypertension previous to the operation and sustained after it. It is advisable to be alert to the possibility of atherosclerotic degeneration of the internal thoracic artery in these patients.




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