Challenges associated with treatment of left internal mammary artery graft thrombosis

Iosif Xenogiannis, Evangelia Vemmou, Ilias Nikolakopoulos, Emmanouil S. Brilakis

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Acute occlusion of the left internal mammary artery (LIMA) graft late after coronary artery bypass grafting surgery is a rare and potentially life-threatening complication. We describe a case of acute myocardial infarction 19 years after coronary artery bypass graft surgery due to acute occlusion of the distal anastomosis of a LIMA graft to the left anterior descending artery. Aspiration thrombectomy failed to remove the thrombus. Laser thrombectomy caused perforation. After drug-eluting and covered stent implantation, antegrade TIMI 3 flow was restored with an uneventful postprocedural course.

Original languageEnglish (US)
Pages (from-to)E17-E20
JournalCatheterization and Cardiovascular Interventions
Issue number1
StatePublished - Jan 1 2020
Externally publishedYes


  • aspiration
  • covered stent
  • laser thrombectomy
  • left internal mammary artery
  • perforation

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine


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