TY - JOUR
T1 - Case report
T2 - Osteogenesis imperfecta, internal mammary artery graft & nitinol clips
AU - Melly, Ludovic
AU - Dincq, Anne Sophie
AU - Hanet, Claude
AU - Rondelet, Benoît
PY - 2017/12/1
Y1 - 2017/12/1
N2 - 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.
AB - 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.
KW - Internal mammary artery
KW - Nitinol clips
KW - Osteogenesis imperfecta
KW - ST Elevation Myocardial Infarction/complications
KW - Humans
KW - Alloys
KW - Male
KW - Surgical Instruments
KW - Internal Mammary-Coronary Artery Anastomosis/instrumentation
KW - Mammary Arteries/transplantation
KW - Coronary Angiography
KW - Coronary Vessels/surgery
KW - Osteogenesis Imperfecta/complications
KW - Adult
KW - Stents
UR - http://www.scopus.com/inward/record.url?scp=85038363194&partnerID=8YFLogxK
U2 - 10.1186/s13019-017-0685-2
DO - 10.1186/s13019-017-0685-2
M3 - Article
C2 - 29258527
AN - SCOPUS:85038363194
SN - 1749-8090
VL - 12
SP - 117
JO - Journal of Cardiothoracic Surgery
JF - Journal of Cardiothoracic Surgery
IS - 1
M1 - 117
ER -