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J Thorac Cardiovasc Surg 2005;130:578-579
© 2005 The American Association for Thoracic Surgery

Brief Communication

Poland syndrome: A contraindication to the use of the internal thoracic artery in coronary artery bypass grafting?

Maneesh Ailiwadi, MD a , Ronald C. Arildsen, MD b , James P. Greelish, MD a , *

a Department of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, Tenn
b Department of Radiology, Vanderbilt University Medical Center, Nashville, Tenn

Received for publication February 10, 2005; accepted for publication February 24, 2005.

* Address for reprints: James P. Greelish, MD, Department of Cardiac Surgery, Vanderbilt University Medical Center, 2311 Pierce Ave, Room 2400, Nashville, TN 37232-8815 (Email: james.greelish@vanderbilt.edu).

The first 20% of the full text of this article appears below.

Poland syndrome (PS) is a rare congenital disorder that is present in 1:30,000 people. It is primarily characterized by hypoplasia of the pectoralis muscles, with associated ipsilateral syndactyly of the upper extremity. Although the true cause of PS remains unknown, the prevailing theory attributes these sequelae to hypoplasia of the subclavian artery or its branches as the result of an in utero vascular accident. 1,2 Go Contemplating how to perform coronary artery bypass grafting (CABG) in a patient with left-sided PS is therefore of particular interest, because hypoplasia of the subclavian artery would theoretically render the left internal thoracic artery (LITA) inadequate for use. Consistent with yet exacerbating this clinical conundrum, no cases of CABG in patients with PS have previously been reported.

We recently encountered a patient with undiagnosed left-sided PS with significant coronary artery disease involving the left anterior descending coronary artery. Our preoperative workup included diagnostic imaging of the heart . . . [Full Text of this Article]




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 Ann. Thorac. Surg.Home page
W. Li, L. Zhang, Q. Zhang, J. Du, S. Zhang, and X. Liu
Poland Syndrome Associated With Ipsilateral Lipoma and Dextrocardia
Ann. Thorac. Surg., December 1, 2011; 92(6): 2250 - 2252.
[Abstract] [Full Text] [PDF]


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