Title of article :
oronary Artery Bypass Grafting in a Patient with Congenital Chest Abnormality with Poland Syndrome
Author/Authors :
Mikhailovich Alshibaya, Michael Department of Surgical Treatment of Ischemic Heart Disease - A.N. Bakulev National Medical Research Center for Cardiovascular Surgery - Russian Federation , Leonidovich Mamalyga, Maxim Department of Surgical Treatment of Ischemic Heart Disease - A.N. Bakulev National Medical Research Center for Cardiovascular Surgery - Russian Federation , Yerikovich Musin, Dzhanybek Department of Surgical Treatment of Ischemic Heart Disease - A.N. Bakulev National Medical Research Center for Cardiovascular Surgery - Russian Federation , Vladimirovich Dorofeev, Alexey Department of Radiation Diagnostics - A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Russian Federation , Guramovich Getsadze, Gela Department of Radiation Diagnostics - A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Russian Federation , Vladislavovich Krymov, Konstantin Department of Surgical Treatment of Ischemic Heart Disease - A.N. Bakulev National Medical Research Center for Cardiovascular Surgery - Russian Federation , Merabovich Cheishvili, Zurab Department of Surgical Treatment of Ischemic Heart Disease - A.N. Bakulev National Medical Research Center for Cardiovascular Surgery - Russian Federation
Abstract :
Introduction: A rare clinical case of coronary artery bypass grafting in congenital chest abnormality with Poland syndrome is described. This syndrome is a congenital anomaly, which is characterized by a combination of unilateral aplasia or hypoplasia of the sternocostal head of the pectoralis major muscle with ipsilateral brachysyndactyly in the classic version. The cause of Poland syndrome is unknown, but it is believed that it can form with a short-term decrease in blood flow in the subclavian and vertebral arteries.
Case Presentation: The presented case shows the possibility of successful completion of coronary artery bypass grafting in Poland syndrome. Revascularization by transluminal balloon angioplasty with stenting reduces the risk of postoperative complications. However, given the degree of damage to the coronary bed and myocardium, in some cases, the patient needs to undergo only coro-nary artery bypass grafting. The presented case shows the possibility of successful completion of coronary artery bypass grafting in Poland syndrome.
Conclusions: We believe that, despite the high risks of postoperative complications, patients with Poland syndrome can be recom-mended to perform a planned operation of coronary artery bypass grafting, including access through a median sternotomy.
Keywords :
Coronary Artery Bypass Grafting , Poland Syndrome , Thoracotomy
Journal title :
Multidisciplinary Cardiovascular Annals