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Case report: osteogenesis imperfecta, internal mammary artery graft & nitinol clips.

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Melly, Ludovic [UCL] Dincq, Anne-Sophie [UCL] Hanet, Claude [UCL] Rondelet, Benoît [UCL]

(eng) 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.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès libre
Publication date 2017
Language Anglais
Journal information "Journal of Cardiothoracic Surgery" - Vol. 12, no. 1, p. 117 [1-3] (2017)
Peer reviewed yes
Publisher BioMed Central Ltd. ((United Kingdom) London)
e-issn 1749-8090
Publication status Publié
Affiliations UCL - (MGD) Service de chirurgie cardio-vasculaire et thoracique
UCL - (MGD) Service de cardiologie
UCL - (MGD) Service d'anesthésiologie
UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire
UCL - SSS/IREC/MEDA - Pôle de médecine aiguë
UCL - SSS/IREC/MONT - Pôle Mont Godinne
Keywords Internal mammary artery ; Nitinol clips ; Osteogenesis imperfecta
Links
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  3. Folkestad Lars, Hald Jannie Dahl, Gram Jeppe, Langdahl Bente L., Hermann Anne Pernille, Diederichsen Axel CP, Abrahamsen Bo, Brixen Kim, Cardiovascular disease in patients with osteogenesis imperfecta — a nationwide, register-based cohort study, 10.1016/j.ijcard.2016.09.107
  4. Gungor Mutlu, Özer Ali, Aparci Mustafa, Premature Atherosclerosis and Drug Eluting Stent Restenosis in an Adult with Osteogenesis Imperfecta, 10.1055/s-0036-1572363
  5. Almassi G. Hossein, Hughes George R., Bartlett James, Combined valve replacement and coronary bypass grafting in osteogenesis imperfecta, 10.1016/0003-4975(95)00490-c
  6. Eskola M, Coronary artery dissection, combined aortic valve replacement and coronary bypass grafting in osteogenesis imperfecta, 10.1016/s1569-9293(02)00060-9
  7. McNeeley Michael F., Dontchos Brian N., Laflamme Michael A., Hubka Michal, Sadro Claudia T., Aortic dissection in osteogenesis imperfecta: case report and review of the literature, 10.1007/s10140-012-1044-1
  8. Grapow Martin TR, Rüter Florian, Melly Ludovic, Winkler Bernhard, Eckstein Friedrich S, Matt Peter, Simplified closure of ministernotomy using thermoreactive sternal clips, 10.1177/0218492311420663
Bibliographic reference Melly, Ludovic ; Dincq, Anne-Sophie ; Hanet, Claude ; Rondelet, Benoît. Case report: osteogenesis imperfecta, internal mammary artery graft & nitinol clips.. In: Journal of Cardiothoracic Surgery, Vol. 12, no. 1, p. 117 [1-3] (2017)
Permanent URL http://hdl.handle.net/2078.1/191996