Coronary bypass using bilateral internal mammary arteries in an achondroplast. (January 2015)

• Record Type: Journal Article
• Authors: Alassal, Mohamed Abdulwahab; Youssef, Mostafa; Koudieh, Mohammed
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 23:Number 1(2015)
• Page Start: 70
• Page End: 71
• Publication Date: 2015-01
• Subjects: Achondroplasia -- Coronary artery bypass -- Mammary arteries; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492313499765
• Languages: English
• ISSNs: 0218-4923

Abstract

Coronary bypass grafting for ischemic heart disease in achondroplastic dwarfs is very rare. Shortage of veins and inadequate vein quality may cause difficulties during surgery. Only 2 cases of coronary bypass surgery in an achondroplastic dwarf, in which the left internal mammary artery and vein grafts were used, have been reported. We describe the case of a 55-year-old male achondroplastic dwarf who had triple-vessel coronary disease and underwent successful coronary bypass surgery using one saphenous vein graft and bilateral internal mammary artery grafts. The anatomic and surgical challenges in achondroplasia are highlighted.