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Ann Thorac Surg 2002;73:652-653
© 2002 The Society of Thoracic Surgeons

Case report

Pseudoxanthoma elasticum: is the left internal mammary artery a suitable conduit for coronary artery bypass grafting?

Jim Iliopoulos, MBBS*a, Con Manganas, FRACSa, Nigel Jepson, MDa, David C. Newman, FRACSa

a Department of Cardiothoracic Surgery, The Prince of Wales Hospital, The University of New South Wales, Sydney, New South Wales, Australia

Accepted for publication May 14, 2001.

* Address reprint requests to Dr Iliopoulos, Department of Cardiothoracic Surgery, Prince of Wales Hospital, Barker St, Randwick, N.S.W., Australia, 2031
e-mail: jimiliopoulos{at}hotmail.com

Coronary artery revascularization remains a feasible and beneficial treatment for coronary artery disease in patients with pseudoxanthoma elasticum. Careful angiographic evaluation of the left internal mammary artery and coronary arteries is required in patients with pseudoxanthoma elasticum with suspected coronary artery disease. A nonstenosed left internal mammary artery at angiography may be used as a conduit for coronary artery revascularization; however, both the effect of harvest and anastomosis on the disease process in the left internal mammary artery and the long-term patency of left internal mammary artery grafts remain unknown.




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Long-term left internal mammary artery graft patency for coronary artery disease associated with pseudoxanthoma elasticum
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