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Arterial conduits should be evaluated preoperatively in coronary artery bypass patients with pseudoxanthoma elasticum
Andrew J Lodge1, Leslie G Dodd, James E Lowe
1Division of Cardiovascular and Thoracic Surgery, Duke University Medical Center, Box 3340, Durham, NC 27710, USA. andrew.lodge@duke.edu
Abstract:
A 74-year-old man who had pseudoxanthoma elasticum presented with unstable angina and underwent urgent coronary artery bypass grafting. Preoperative angiography did not include the internal mammary arteries. Intraoperatively, the left internal mammary artery was found to be diseased and could not be used. This case lends support to the need for thorough preoperative evaluation, including angiography, of potential arterial conduits in patients with pseudoxanthoma elasticum.
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