Challenges associated with treatment of left internal mammary artery graft thrombosis.
Iosif XenogiannisEvangelia VemmouIlias NikolakopoulosEmmanouil S BrilakisPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
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.
Keyphrases
- coronary artery bypass
- percutaneous coronary intervention
- coronary artery bypass grafting
- acute myocardial infarction
- minimally invasive
- liver failure
- coronary artery disease
- acute coronary syndrome
- respiratory failure
- acute ischemic stroke
- drug induced
- pulmonary embolism
- aortic dissection
- atrial fibrillation
- high speed
- extracorporeal membrane oxygenation
- high resolution
- smoking cessation
- acute respiratory distress syndrome