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A cystic lesion between the left internal thoracic artery (LITA) graft and left anterior descending artery (LAD) flow was detected by routine transthoracic echocardiography in a patient after coronary artery bypass grafting. The cystic lesion communicated with the anastomotic site of the LITA graft to LAD, and it was diagnosed as a pseudoaneurysm of the LITA graft by transthoracic echocardiography.Because pseudoaneurysm of a coronary bypass graft is a potentially fatal complication after coronary artery bypass grafting, it is important to detect the LITA graft flow at the anastomotic site by transthoracic echocardiography in routine examination.

Pseudoaneurysm of Left Internal Thoracic Artery Graft After Coronary Artery Bypass Grafting: Diagnosis by Transthoracic Echocardiography