Jmg. Acuna et al., Coronary heart disease produced by pseudoxanthoma elasticum and coronary artery bypass with double internal mammary artery, REV ESP CAR, 54(7), 2001, pp. 908-911
We present a case of an 18 year-old woman with pseudoxanthoma elasticum, wh
o had a biopsy taken from a lesion. Although she was asymptomatic, we tried
to rule out myocardial ischemia with a treadmill and cardiac gammagraphy w
ith Talio. The isotopic studies and the ergometry were positive and the pat
ient underwent coronariography. This study showed a severe triple-vessel di
sease. We did an angiography of the supraaortic arteries, mamarian artery,
and mesenteric artery. These studies showed no obstructive lesions. The tre
atment of patient was a double by-pass with internal mammary artery and one
by-pass with safena vein grafts with satisfactory results.