Coronary bypass using bilateral internal mammary arteries in an achondroplast.

[achondroplasia]

Coronary bypass grafting for ischemic heart disease in achondroplastic dwarfs is very rare . Shortage of veins and inadequate vein quality may cause difficulties during surgery . Only 2 cases of coronary bypass surgery in an achondroplastic dwarf , in which the left internal mammary artery and vein grafts were used , have been reported . We describe the case of a 55 -year -old male achondroplastic dwarf who had triple-vessel coronary disease and underwent successful coronary bypass surgery using one saphenous vein graft and bilateral internal mammary artery grafts . The anatomic and surgical challenges in achondroplasia are highlighted .