title: Coronary bypass using bilateral internal mammary arteries in an achondroplast.
abstract: Coronary bypass grafting for ischemic heart disease in achondroplastic dwarfs is very rare. Shortage of veins and inadequate vein quality may cause difficulties during surgery. Only 2 cases of coronary bypass surgery in an achondroplastic dwarf, in which the left internal mammary artery and vein grafts were used, have been reported. We describe the case of a 55-year-old male achondroplastic dwarf who had triple-vessel coronary disease and underwent successful coronary bypass surgery using one saphenous vein graft and bilateral internal mammary artery grafts. The anatomic and surgical challenges in achondroplasia are highlighted.
authors.affiliation: Department of Cardiac Surgery, Prince Salman Heart Center, King Fahad Medical City, Riyadh, Saudi Arabia dmohamedabdelwahab@gmail.com.
authors.forename: Mohamed Abdulwahab
authors.initials: MA
authors.lastname: Alassal
authors.affiliation: Department of Cardiology, Prince Salman Heart Center, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Mostafa
authors.initials: M
authors.lastname: Youssef
authors.affiliation: Department of Cardiac Surgery, Prince Salman Heart Center, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Koudieh
mesh_terms: D000130:Achondroplasia / Q000150:complications* / Q000175:diagnosis; D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*; D016896:Treatment Outcome
keywords: Achondroplasia; Coronary artery bypass; Mammary arteries