Dynamic Kinking of Left Internal Mammary Artery Graft

JACC Case Rep. 2019 Oct 16;1(3):431-432. doi: 10.1016/j.jaccas.2019.07.040. eCollection 2019 Oct.

Abstract

A 61-year-old man with history of coronary artery disease and coronary artery bypass graft presented with chest pain. A left heart catheterization showed a new kink in the body of his left internal mammary artery to left anterior descending artery graft. The kink improved with inspiration, which suggests re-assessment of similar cases should be done during deep inspiration. (Level of Difficulty: Intermediate.).

Keywords: acute coronary syndrome; coronary angiography; coronary artery bypass.