Coronary artery bypass in a 15-year-old girl with pseudoxanthoma elasticum.
A 15-year-old girl with pseudoxanthoma elasticum and associated severe coronary artery disease underwent double coronary artery bypass using left internal mammary artery and saphenous vein. Preoperatively the patient had life-threatening syncope and positive treadmill test results. The postoperative course was uneventful, and the patient has been doing well for 3 years. Pseudoxanthoma elasticum is a rare disease that can cause premature coronary arterial obstructive disease in children and adolescents.
Nishida
H
H
Department of Cardiovascular Surgery and Pediatric Cardiology, Heart Institute of Japan, Tokyo.
Endo
M
M
Koyanagi
H
H
Ichihara
T
T
Takao
A
A
Maruyama
M
M
D000293:Adolescent; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000150:complications / Q000601:surgery; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D011561:Pseudoxanthoma Elasticum / Q000150:complications; D012501:Saphenous Vein / Q000637:transplantation*