Abstract
A clinical case of coronary artery bypass grafting in congenital chest anomaly with Poland syndrome was described for the first time. This syndrome is a rare congenital anomaly, which in the classical version is characterized by a combination of unilateral aplasia or hypoplasia of the sternal head of the pectoralis major muscle with ipsilateral brachysindactyly. The cause of Poland syndrome is unknown, but it is believed that it can form with a short-term decrease in blood flow in the subclavian and vertebral arteries. The presented case shows the possibility of successful coronary artery bypass graft surgery in Poland syndrome. Revascularization by transluminal balloon angioplasty with stenting reduces the risks of postoperative complications. However, given the degree of damage to the coronary bed and myocardium, in some cases, the patient needs to perform only coronary artery bypass grafting. The presented case shows the possibility of successful coronary artery bypass graft surgery in Poland syndrome. We believe that, despite the high risks of postoperative complications, patients with Poland syndrome can be recommended to perform coronary artery bypass grafting on a planned basis, including through a median sternotomy.
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About the authors
- Mikhail M. Alshibaya, Dr. Med. Sc., Professor, Head of Department, orcid.org/0000-0002-8003-5523
- Maksim L. Mamalyga, Dr. Med. Sc., Senior Researcher, orcid.org/0000-0001-9605-254X
- Dzhanybek E. Musin, Cand. Med. Sc., Senior Researcher, orcid.org/0000-0001-8815-0414
- Aleksey V. Dorofeev, Cand. Med. Sc., Head of Department, orcid.org/0000-0003-0833-9650
- Malkhaz O. Meskhiya, Cardiovascular Surgeon, orcid.org/0000-0001-7984-7228
- Konstantin V. Krymov, Junior Researcher, orcid.org/0000-0002-2763-6282
