báo cáo khoa học: "Coronary artery surgery in a man with achondroplasia: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Coronary artery surgery in a man with achondroplasia: a case report | Tagarakis et al. Journal of Medical Case Reports 2010 4 348 http content 4 1 348 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Coronary artery surgery in a man with achondroplasia a case report Georgios I Tagarakis Dimos Karangelis Andony J Baddour Nicholas Desimonas Angeliki Tsantsaridou Marios E Daskalopoulos Dimitrios Papadopoulos Nikolaos B Tsilimingas Abstract Introduction Achondroplasia is a musculoskeletal disorder associated with short stature. Despite an estimated prevalence of 1 25 000 in the general population there is little literature concerning the diagnostic and treatment challenges faced by doctors dealing with a heart operation on a patient with this condition. Case presentation We present the case of a 41-year-old Caucasian man of Greek ethnicity with achondroplasia who underwent bypass heart surgery. Conclusions The surgery was successful and did not present particular difficulties showing that heart surgery can be safely performed on people with achondroplasia. Introduction Dwarfism is a term referring to people of short stature and can be due to several musculoskeletal and hormonal growth disorders. The most common cause is considered to be achondroplasia a morbid condition due to a mutation affecting the fibroblast growth factor receptor FGFR gene 3. Despite an estimated prevalence of 1 25 000 in the general population 1 little has been written on the diagnostic and treatment challenges faced by doctors with achondroplasia patients who require heart surgery. We report here a third case concerning dwarfs and heart surgery and the second dealing with dwarfs and bypass heart surgery 2 3 . Case presentation A 41-year-old Caucasian man of Greek ethnicity with achondroplasia was referred to our cardiothoracic surgery department following coronary artery angiography and a diagnosis of three-vessel coronary artery disease. Angiography was performed due to mild anginal symptoms dating about four months prior

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