Pseudoxanthoma elasticum: is the left internal mammary artery a suitable conduit for coronary artery bypass grafting?

Ann Thorac Surg. 2002 Feb;73(2):652-3. doi: 10.1016/s0003-4975(01)03011-9.


Coronary artery revascularization remains a feasible and beneficial treatment for coronary artery disease in patients with pseudoxanthoma elasticum. Careful angiographic evaluation of the left internal mammary artery and coronary arteries is required in patients with pseudoxanthoma elasticum with suspected coronary artery disease. A nonstenosed left internal mammary artery at angiography may be used as a conduit for coronary artery revascularization; however, both the effect of harvest and anastomosis on the disease process in the left internal mammary artery and the long-term patency of left internal mammary artery grafts remain unknown.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Coronary Angiography
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / surgery*
  • Follow-Up Studies
  • Humans
  • Male
  • Mammary Arteries / diagnostic imaging
  • Mammary Arteries / transplantation*
  • Myocardial Revascularization / methods*
  • Postoperative Complications / diagnostic imaging
  • Pseudoxanthoma Elasticum / diagnostic imaging
  • Pseudoxanthoma Elasticum / surgery*
  • Veins / transplantation