Early Graft Failure after Coronary Artery Bypass Surgery: A Case of Anastomosis Detachment Due to Fibromuscular Dysplasia

Fibromuscular dysplasia is a non-atherosclerotic, non-inflammatory arteriopathy, considered a rare cause of coronary artery disease. Although familial cases have been described, no specific gene association has been detected so far. When the coronary vessels are involved, the main clinical scenarios...

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Main Authors: Andrea Lorenzo Vecchi, Roberta Maragliano, Fausto Sessa, Cesare Beghi, Roberto De Ponti, Battistina Castiglioni
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Hearts
Subjects:
Online Access:https://www.mdpi.com/2673-3846/2/3/30
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author Andrea Lorenzo Vecchi
Roberta Maragliano
Fausto Sessa
Cesare Beghi
Roberto De Ponti
Battistina Castiglioni
author_facet Andrea Lorenzo Vecchi
Roberta Maragliano
Fausto Sessa
Cesare Beghi
Roberto De Ponti
Battistina Castiglioni
author_sort Andrea Lorenzo Vecchi
collection DOAJ
description Fibromuscular dysplasia is a non-atherosclerotic, non-inflammatory arteriopathy, considered a rare cause of coronary artery disease. Although familial cases have been described, no specific gene association has been detected so far. When the coronary vessels are involved, the main clinical scenarios are stable angina, acute coronary syndromes, left ventricular dysfunction, and sudden death. Specific clinical and angiographic findings may suggest this as the underlying disease, but certain diagnosis histological. The involvement of the lower and upper limbs is unusual; however, it may have decisive clinical implications for the most appropriate revascularization method and the selection of the arterial graft to be used.
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spelling doaj.art-3f5e92d6f9c946fdba38188a06f682d62023-11-22T13:19:12ZengMDPI AGHearts2673-38462021-08-012337938310.3390/hearts2030030Early Graft Failure after Coronary Artery Bypass Surgery: A Case of Anastomosis Detachment Due to Fibromuscular DysplasiaAndrea Lorenzo Vecchi0Roberta Maragliano1Fausto Sessa2Cesare Beghi3Roberto De Ponti4Battistina Castiglioni5Department of Heart and Vessels, ASST-Settelaghi, Di Circolo Hospital, University of Insubria, 21100 Varese, ItalyPathology Unit, Department of Medicine and Surgery, University of Insubria, 21100 Varese, ItalyPathology Unit, Department of Medicine and Surgery, University of Insubria, 21100 Varese, ItalyDepartment of Heart and Vessels, ASST-Settelaghi, Di Circolo Hospital, University of Insubria, 21100 Varese, ItalyDepartment of Heart and Vessels, ASST-Settelaghi, Di Circolo Hospital, University of Insubria, 21100 Varese, ItalyDepartment of Heart and Vessels, ASST-Settelaghi, Di Circolo Hospital, University of Insubria, 21100 Varese, ItalyFibromuscular dysplasia is a non-atherosclerotic, non-inflammatory arteriopathy, considered a rare cause of coronary artery disease. Although familial cases have been described, no specific gene association has been detected so far. When the coronary vessels are involved, the main clinical scenarios are stable angina, acute coronary syndromes, left ventricular dysfunction, and sudden death. Specific clinical and angiographic findings may suggest this as the underlying disease, but certain diagnosis histological. The involvement of the lower and upper limbs is unusual; however, it may have decisive clinical implications for the most appropriate revascularization method and the selection of the arterial graft to be used.https://www.mdpi.com/2673-3846/2/3/30fibromuscular dysplasia (FMD)coronary artery bypass graftinggraft failure
spellingShingle Andrea Lorenzo Vecchi
Roberta Maragliano
Fausto Sessa
Cesare Beghi
Roberto De Ponti
Battistina Castiglioni
Early Graft Failure after Coronary Artery Bypass Surgery: A Case of Anastomosis Detachment Due to Fibromuscular Dysplasia
Hearts
fibromuscular dysplasia (FMD)
coronary artery bypass grafting
graft failure
title Early Graft Failure after Coronary Artery Bypass Surgery: A Case of Anastomosis Detachment Due to Fibromuscular Dysplasia
title_full Early Graft Failure after Coronary Artery Bypass Surgery: A Case of Anastomosis Detachment Due to Fibromuscular Dysplasia
title_fullStr Early Graft Failure after Coronary Artery Bypass Surgery: A Case of Anastomosis Detachment Due to Fibromuscular Dysplasia
title_full_unstemmed Early Graft Failure after Coronary Artery Bypass Surgery: A Case of Anastomosis Detachment Due to Fibromuscular Dysplasia
title_short Early Graft Failure after Coronary Artery Bypass Surgery: A Case of Anastomosis Detachment Due to Fibromuscular Dysplasia
title_sort early graft failure after coronary artery bypass surgery a case of anastomosis detachment due to fibromuscular dysplasia
topic fibromuscular dysplasia (FMD)
coronary artery bypass grafting
graft failure
url https://www.mdpi.com/2673-3846/2/3/30
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