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Challenges associated with treatment of left internal mammary artery graft thrombosis
Author(s) -
Xenogiannis Iosif,
Vemmou Evangelia,
Nikolakopoulos Ilias,
Brilakis Emmanouil S.
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28322
Subject(s) - medicine , surgery , thrombus , timi , myocardial infarction , artery , anastomosis , thrombosis , cardiology , occlusion , complication , thrombolysis
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.