Patients with Klippel-Feil syndrome should have imaging of the subclavian artery and its branches prior to coronary artery bypass grafting.
Patients with Klippel-Feil syndrome have increased incidence of subclavian artery anomalies. We report a case of a patient with this syndrome undergoing coronary artery bypass grafting. Intra-operatively, the patient was found to have the left internal mammary artery arising from the second intercostal space and the decision was taken to use it as a free graft. As other anomalies of the subclavian arteries and their branches are recognised in patients with Klippel-Feil syndrome, we propose that imaging of the internal mammary arteries is carried out pre-operatively in such patients to assess the suitability for use as conduit in coronary artery bypass grafting.
Paul
Ian
I
Department of Cardiac Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, Northern Ireland, UK. ian.paul@talk21.com
Badmanaban
Balaji
B
Campalani
Gianfranco
G
D001026:Coronary Artery Bypass; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D007714:Klippel-Feil Syndrome / Q000601:surgery*; D008297:Male; D008323:Mammary Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008875:Middle Aged; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation*; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging