title: A rare case of percutaneous coronary intervention in achondroplasia.
abstract: Achondroplastic individuals are associated with increased cardiac risk when compared to the general population. Coronary interventions in patients with achondroplasia have not been studied previously. We report the case of a 32-year-old male smoker with achondroplasia who presented with acute chest pain of 3 hours duration. He was diagnosed with acute inferior and right ventricular myocardial infarction and thrombolyzed with streptokinase. Since the patient continued to have pain and hypotension, he was taken for rescue percutaneous coronary intervention (PCI). Because of short stature and kyphoscoliosis, difficulties were faced in cannulating the coronaries and performing intervention. He had total occlusion of proximal right coronary artery, for which angioplasty with stenting was done. To our knowledge, this is the first case of PCI conducted in an achondroplastic patient.
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Jayanagar 9th Block, Bannerghatta Road. Bangalore, Karnataka State, India 560069. sunilbmc98@gmail.com
authors.forename: Sunil Kumar
authors.initials: SK
authors.lastname: Srinivas
authors.forename: Rangaraj
authors.initials: R
authors.lastname: Ramalingam
authors.forename: Cholenahally Nanjappa
authors.initials: CN
authors.lastname: Manjunath
mesh_terms: D000130:Achondroplasia / Q000150:complications*; D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000628:therapy*; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome