Key result
Heavy Mönckeberg’s arteriosclerosis calcification prevents radial artery use for CABG, requiring saphenous vein grafts.
Case Report (n=1)
The coexistence of Mönckeberg’s arteriosclerosis and atherosclerosis can prevent the use of the radial artery as a conduit for coronary artery bypass grafting.
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May preclude radial artery use in CABG for Mönckeberg’s arteriosclerosis; leaves open optimal preoperative screening and conduit strategies.
We report the case of a 73-year-old man with diffuse calcification in both upper and lower limb arteries. This condition, termed Mönckeberg’s arteriosclerosis, was accompanied by three-vessel disease needing coronary artery bypass grafting. The diagnosis of arteriosclerosis was further verified by histopathology. The use of radial artery for coronary artery bypass grafting was prevented due to the heavily calcified nature of the vessel. Saphenous veins were harvested for non-left anterior descending arteries. Coexistence of Mönckeberg’s arteriosclerosis and atherosclerosis is possible and it affects the surgeon’s preference in conduit selection.
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Doğan et al. (2019) conducted a case report in Mönckeberg’s arteriosclerosis and three-vessel coronary artery disease (n=1). Coronary artery bypass grafting was evaluated on Conduit selection. Heavy calcification from Mönckeberg’s arteriosclerosis prevented the use of the radial artery as a conduit for coronary artery bypass grafting, necessitating the use of saphenous veins.
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