The Left Internal Mammary Artery Graft: Durable and Self-Reparative

Farshad Forouzandeh; John S Douglas Jr

doi:10.1016/j.jaccas.2019.05.033

The Left Internal Mammary Artery Graft: Durable and Self-Reparative

JACC Case Rep. 2019 Aug 21;1(2):168-170. doi: 10.1016/j.jaccas.2019.05.033. eCollection 2019 Aug.

Authors

Farshad Forouzandeh^{1

2}, John S Douglas Jr²

Affiliations

¹ University Hospitals, Case Western Reserve University, Cleveland, Ohio.
² Andreas Gruentzig Cardiovascular Center and Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia.

Abstract

After an unsuccessful left internal mammary artery (LIMA) to left anterior descending percutaneous coronary intervention (PCI) in an outside hospital, a patient presented with ST-segment elevation myocardial infarction. The patient was found to have LIMA occlusion and underwent a second PCI. However, there was a residual disruption of LIMA, subsequently, the patient was found to have complete LIMA recanalization, which emphasized the self-reparative nature of LIMA. (Level of Difficulty: Intermediate.).

Keywords: BMS, bare-metal stent(s); CABG, coronary artery bypass grafting; DES, drug-eluting stent(s); LAD, left anterior descending; LIMA, left internal mammary artery; OTW, over the wire; PBA, plain balloon angioplasty; PCI, percutaneous coronary intervention; STEMI, ST-segment elevation myocardial infarction; TIMI, Thrombolysis In Myocardial Infarction; coronary artery bypass; coronary circulation; percutaneous coronary intervention.

Publication types

Case Reports