Coronary artery surgery in a man with achondroplasia: a case report

Tagarakis, Georgios I; Karangelis, Dimos; Baddour, Andony J; Desimonas, Nikolaos; Tsantsaridou, Angeliki; Daskalopoulos, Marios E.; Papadopoulos, Dimitrios; Tsilimingas, Nikolaos

doi:10.1186/1752-1947-4-348

Cited by 13 publications

(13 citation statements)

References 2 publications

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“…Dwarfism is a term referring to people of short stature, and can be due to several musculoskeletal and hormonal growth anomalies. [ 1 ] Achondroplasia (ACH) is the most common dwarfing condition. [ 1 2 ] Hypopituitarism is the second cause of dwarfism and requires special management during heart surgery.…”

Section: Introductionmentioning

confidence: 99%

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Perceval S aortic valve implantation in an achondroplastic Dwarf

Baikoussis

Argiriou

et al. 2016

Ann Card Anaesth

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Despite cardiovascular disease in patients with dwarfism is not rare; there is a lack of reports referring to cardiac interventions in such patients. Dwarfism may be due to achondroplasia or hormonal growth disorders. We present a 58-year-old woman with episodes of dyspnea for several months. She underwent on transthoracic echocardiography, and she diagnosed with severe aortic valve stenosis. She referred to our department for surgical treatment of this finding. In accordance of her anthropometric characteristics and her very small aortic annulus, we had the dilemma of prosthesis selection. We decided to implant a stentless valve to optimize her effective orifice area. Our aim is to present the successful Perceval S valve implantation and the descriptions of the problems coming across in operating on these special patients. To our knowledge, this is the first case patient in which a Perceval S valve is implanted according to the international bibliography.

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Section: Introductionmentioning

confidence: 99%

“…[ 1 ] Achondroplasia (ACH) is the most common dwarfing condition. [ 1 2 ] Hypopituitarism is the second cause of dwarfism and requires special management during heart surgery. [ 3 4 ]…”

Section: Introductionmentioning

confidence: 99%

Perceval S aortic valve implantation in an achondroplastic Dwarf

Baikoussis

Argiriou

et al. 2016

Ann Card Anaesth

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“…Distal TIMI 3 flow (Throm-saphenous vein grafts. However, there are a few reports of coronary artery bypass surgery in these patients, including the use of both a saphenous vein and the left internal mammary artery, 5 report of successful CABG after a phlebography of the limbs revealed adequate saphenous veins, 6 and CABG using one saphenous vein graft and bilateral internal mammary artery grafts. 7 There are also few reports of PCI including radial PCI to RCA as rescue PCI post thrombolysis, 8 Sheathless transradial angioplasty to LAD (Left Anterior Descending artery) in STEMI (ST Elevation Myocardial Infarction), 9 and multivessel femoral PCI.…”

Section: Discussionmentioning

confidence: 99%

Transradial Coronary Angioplasty in an Achondroplastic Patient with Chronic Total Occlusion (CTO): First Case Report

Verma¹,

Singh²,

Saxena³

et al. 2018

JCDR

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Coronary interventions in patients with achondroplasia have been very rarely reported. The optimal approach to such patients in complex cases is not known. They pose special challenge to coronary revascularisation due to short stature, angle of their elbows, kyphoscoliosis, frequent obesity, and lack of specific equipments and experience. We present an interesting case of 67 years old man with achondroplasia who presented with significant angina symptoms and past history of IWMI. Transradial angiography showed chronic total occlusion (CTO) of right coronary artery. Coronary angioplasty was done via right radial approach using available hardware with good results. To our knowledge, this is the first case of radial angioplasty in an achondroplastic patient with CTO. The procedural difficulties and techniques have been discussed along with brief review of literature.

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“…This, to the best of our knowledge, is the first report of an acute Type A aortic dissection in an achondroplastic dwarf. There are only four other accounts of cardiac surgeries and dwarfism [2][3][4][5]. For a coronary artery bypass graft procedure, the major concern is limited saphenous vein reserve, but otherwise, the procedure can be performed routinely [3].…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, this case represents the fifth case report of open heart surgery in a dwarf patient and the first one of aortic dissection repair [2][3][4][5]. Informed consent was obtained from the patient for publication of this case report with the accompanying images.…”

Section: Introductionmentioning

confidence: 99%