Challenges associated with treatment of left internal mammary artery graft thrombosis

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

doi:10.1002/ccd.28322

Challenges associated with treatment of left internal mammary artery graft thrombosis

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

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

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 language	English (US)
Pages (from-to)	E17-E20
Journal	Catheterization and Cardiovascular Interventions
Volume	95
Issue number	1
DOIs	https://doi.org/10.1002/ccd.28322
State	Published - Jan 1 2020
Externally published	Yes

Keywords

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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10.1002/ccd.28322

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abstract = "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.",

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AU - Xenogiannis, Iosif

AU - Vemmou, Evangelia

AU - Nikolakopoulos, Ilias

AU - Brilakis, Emmanouil S.

PY - 2020/1/1

Y1 - 2020/1/1

N2 - 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.

AB - 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.

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KW - covered stent

KW - laser thrombectomy

KW - left internal mammary artery

KW - perforation

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Challenges associated with treatment of left internal mammary artery graft thrombosis

Abstract

Keywords

ASJC Scopus subject areas

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