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Ann Thorac Surg 1995;59:1228-1230
© 1995 The Society of Thoracic Surgeons

Articles

Severe internal mammary artery atherosclerosis after correction of coarctation of the aorta

MD Ray Huang-Tsang Chen, MD George J. Reul, MD Denton A. Cooley*

Department of Cardiovascular Surgery, Texas Heart Institute/St. Luke's Episcopal Hospital, Houston, Texas, USA

Accepted for publication October 6, 1994.

* Address reprint requests to Dr Cooley, Texas Heart Institute, PO Box 20345, Houston, TX 77225-0345.

Recently, we were unable to use the left internal mammary artery for coronary artery bypass grafting in 2 patients who had undergone successful late correction of coarctation of the aorta. In both patients, the mammary arteries were severely atherosclerotic and calcified; this may have resulted from prolonged and severe obstructive hypertension, which both patients had sustained before repair of the coarctation. Thus, in patients who have undergone late repair of coarctation, a bypass conduit other than the mammary artery may be needed.




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