title: Effect of coexisting Paget's disease on coronary artery bypass operations.
abstract: Paget's disease of the sternum is rare. In patients with sternal Paget's disease, sternotomy, and harvesting of internal mammary arteries may reveal problems because of a thickened sternum and substernal adhesions. Saphenous vein graft or other arterial grafts may be used. Especially in younger patients who received saphenous vein graft, a repeat revascularization operation, because of earlier saphenous vein graft degeneration, may be needed in subsequent years. During the repeat operation, opening and reclosing the chest will still be a major problem. In appropriate patients, an operation through a thoracotomy or noninvasive balloon and/or stent techniques may be good choices.
authors.affiliation: Department of Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Center, No. 5/2 Kadikoy, Istanbul, Turkey.
authors.forename: Onur
authors.initials: O
authors.lastname: Sokullu
authors.forename: Ali
authors.initials: A
authors.lastname: Tabakan
authors.forename: Soner
authors.initials: S
authors.lastname: Sanioglu
authors.forename: I Oral
authors.initials: IO
authors.lastname: Hastaoglu
authors.forename: Fuat
authors.initials: F
authors.lastname: Bilgen
mesh_terms: D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D010001:Osteitis Deformans / Q000150:complications*; D011859:Radiography; D013249:Sternum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013908:Thoracotomy / Q000379:methods