[Coronary ischemia caused by pseudoxanthoma elasticum and myocardial revascularization with double arterial graft].
We present a case of an 18 year-old woman with pseudoxanthoma elasticum, who had a biopsy taken from a lesion. Although she was asymptomatic, we tried to rule out myocardial ischemia with a treadmill and cardiac gammagraphy with Talio. The isotopic studies and the ergometry were positive and the patient underwent coronariography. This study showed a severe triple-vessel disease. We did an angiography of the supraaortic arteries, mamarian artery, and mesenteric artery. These studies showed no obstructive lesions. The treatment of patient was a double by-pass with internal mammary artery and one by-pass with safena vein grafts with satisfactory results.
García Acuña
J M
JM
Servicio de Cardiología y Unidad Coronaria, Complejo Hospitalario Universitario de Santiago, Hospital Clínico Universitario, Santiago de Compostela. jgarciaacuna@meditex.es
Vázquez Caamaño
M
M
González Cid
A
A
González-Juanatey
J R
JR
López Lago
A M
AM
Gil De La Peña
M
M
D000293:Adolescent; D001026:Coronary Artery Bypass / Q000379:methods; D003327:Coronary Disease / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D011561:Pseudoxanthoma Elasticum / Q000150:complications*; D012501:Saphenous Vein / Q000601:surgery