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British Journal of Anaesthesia, Vol 76, Issue 3 464-466, Copyright © 1996 by The Board of Management and Trustees of the British Journal of Anaesthesia

CASE REPORTS

Myocardial ischaemia associated with Ehlers-Danlos syndrome

C. M. Price, S. Ford, L. St John Jones and V. Murday
Crawley Hospital, Crawley, West Sussex; St George's Hospital, London.

A 38-yr-old man with an unusual type of Ehlers-Danlos syndrome presented for elective abdominal aortic aneurysm repair. During surgery he developed acute myocardial ischaemia, resulting in abandonment of the procedure. He was shown subsequently to have severe triple vessel coronary artery disease. Silent ischaemia associated with severe coronary artery disease, although rare, may be associated with the syndrome and is difficult to recognize as other cardiac abnormalities are frequently present.
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