AI Summary & Key Takeaways
AI InsightAlthough anastomosis of the left internal mammary artery and the LAD artery was patent in both patients, the bypass to the circumflex artery performed in one patient was occluded.
📌 3 Key Takeaways
Abstract
Our knowledge about the prognosis of coronary artery disease in identical twins is limited to case reports and the actual incidence is unknown. There are similarities between the characteristics of coronary artery disease in twin patients, but some differences may also exist. Coronary artery bypass grafting was performed in identical twin brothers aged 32 years. Both patients had stenosis of the left anterior descending (LAD) coronary and circumflex arteries before surgery. Six years after surgery, one of the twins who was not a smoker and had lower lipid levels developed angina. Angiography showed a new stenotic lesion of the right coronary artery that required reintervention. Although anastomosis of the left internal mammary artery and the LAD artery was patent in both patients, the bypass to the circumflex artery performed in one patient was occluded.
Özet
Tek yumurta ikizlerinde koroner arter hastalığının prognozuna ait bilgi literatürde olgu sunumları ile sınırlıdır ve gerçek sıklığı bilinmemektedir. İkiz hastalarda koroner arter hastalığının özellikleri genellikle benzer bulgular ile ortaya çıkarken, bazı farklılıklar da bulunmaktadır. Tek yumurta ikizi olan 32 yaşındaki iki erkek hastaya koroner arter bypass greftleme ameliyatı uygulandı. Her iki hastada ameliyat öncesinde sol ön inen (LAD) ve sirkumfleks arterlerde lezyonlar vardı. Ameliyat sonrası altıncı yılda, sigara içmeyen ve lipid düzeyi düşük olan bir ikizde angina gelişti ve anjiyografide müdahale gerektiren sağ koroner arter lezyonu saptandı. Sol internal mammaryan arter ile LAD arter anaztomozu her iki hastada açık olmasına rağmen, bir hastada sirkumfleks artere uygulanan bypass tıkalı bulundu.