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Howard K. Song
Erez Sharoni
Robert A. Guyton
John D. Puskas
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Ann Thorac Surg 2004;78:691-693
© 2004 The Society of Thoracic Surgeons

Case report

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

Howard K. Song, MD, PhDa, Erez Sharoni, MDa, Byron Williams, Jr, MDa, Robert A. Guyton, MDa, John D. Puskas, MDa*

a Section of Cardiothoracic Surgery and Division of Cardiology, Emory University, Atlanta, Georgia, USA

Accepted for publication August 19, 2003.

* Address reprint requests to Dr Puskas, Carlyle Fraser Heart Center, 6th Floor, Cardiothoracic Surgery, Crawford Long Hospital of Emory University, 550 Peachtree St, NE, Atlanta, GA, USA 30308
e-mail: john_puskas{at}emoryhealthcare.org

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.






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