Case report: osteogenesis imperfecta, internal mammary artery graft & nitinol clips.
J Cardiothorac Surg
; 12(1): 117, 2017 Dec 19.
Article
en En
| MEDLINE
| ID: mdl-29258527
ABSTRACT
BACKGROUND:
Osteogenesis imperfecta is a genetic disorder of connective tissue causing mostly left-sided heart valves and aortic root pathologies, but a coronary artery involvement reflecting an increased sensitivity to cardiovascular risk factors is also suspected in this patient population. CASE PRESENTATION We report a 38-year-old patient with an osteogenesis imperfecta and a typical presentation of an acute myocardial infarction. The coronary angiogram showed a coronary 3-vessel disease. The patient underwent a bypass grafting surgery with the internal mammary artery. The sternum was closed using four nitinol clips and had totally stabilized at 4 months with excellent bone healing.CONCLUSIONS:
With the successful clinical outcome in this patient severely affected by its osteogensis imperfecta, we underline the safe use of the LIMA, if precaution is taken towards the sternal bone, and its closure with nitinol clips.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Osteogénesis Imperfecta
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Instrumentos Quirúrgicos
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Stents
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Aleaciones
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Infarto del Miocardio con Elevación del ST
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Anastomosis Interna Mamario-Coronaria
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Arterias Mamarias
Tipo de estudio:
Diagnostic_studies
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Risk_factors_studies
Límite:
Adult
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Humans
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Male
Idioma:
En
Año:
2017
Tipo del documento:
Article