Post-Coronary Artery Bypass Grafting Myocardial Ischemia Caused by an Overgrown Left Internal Thoracic Artery Side Branch.
10.5090/kjtcs.2014.47.5.465
- Author:
Eung Re KIM
1
;
Se Jin OH
;
Hyun Jae KANG
;
Ki Bong KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea. kimkb@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Angina;
Coronary artery bypass surgery;
Mammary arteries;
Therapeutic embolization
- MeSH:
Arteries*;
Coronary Angiography;
Coronary Artery Bypass;
Embolization, Therapeutic;
Humans;
Mammary Arteries*;
Myocardial Ischemia*;
Perfusion;
Tomography, Emission-Computed;
Tomography, Emission-Computed, Single-Photon;
Transplants*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2014;47(5):465-467
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a patient who developed recurrent angina after coronary artery bypass grafting (CABG). Myocardial single-photon emission computed tomography (SPECT) demonstrated deterioration in the myocardial perfusion, and coronary angiography revealed an overgrown side branch of the grafted left internal thoracic artery (ITA); otherwise, there were no significant changes compared with previous imaging studies obtained after the CABG. After percutaneous embolization of the grafted left ITA side branch, the angina was resolved and myocardial SPECT showed improved perfusion.
