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Ann Thorac Surg 2005;80:2368-2370
© 2005 The Society of Thoracic Surgeons

Case report

Mediastinal Fibrosis Causing Myocardial Ischemia

Pankaj Saxena, MCh * , Peter J. Tesar, FRACS

Department of Cardiac Surgery, The Prince Charles Hospital, Brisbane, Australia

Accepted for publication July 14, 2004.

* Address correspondence to Dr Saxena, Department of Cardiac Surgery, The Prince Charles Hospital, Rode Rd, Chermside, Brisbane 4032, Australia (Email: drpankajsaxena{at}hotmail.com).

This report describes an unusual etiology of coronary artery disease. A 60-year-old male presented with angina. He was treated with methysergide for migraine. It was determined that the patient possessed an extremely thick-walled ascending aorta that caused the coronary ostial narrowing. He underwent replacement of the ascending aorta and proximal aortic arch. Double vessel coronary artery bypass grafting was performed using saphenous vein. Microscopic examination indicated the pathology to be sclerosing mediastinis.




This article has been cited by other articles:


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 J. Thorac. Cardiovasc. Surg.Home page
P. Saxena and P. J. Tesar
Vascular obstruction related to mediastinal fibrosis: an interesting clinical entity.
J. Thorac. Cardiovasc. Surg., November 1, 2007; 134(5): 1379 - 1379.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
C. Zhang, Y. Ni, and J. Zhang
Reply to the Editor.
J. Thorac. Cardiovasc. Surg., November 1, 2007; 134(5): 1379 - 1380.
[Full Text] [PDF]


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