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

• Type of Material: Article
• Authors: Farshad Forouzandeh, University Hospitals, Case Western Reserve University; John S Douglas, Emory University
• Language: English
• Date: 2019-08
• Publisher: Elsevier
• Publication Version: Final Published Version
• Copyright Statement: 2019 Published by Elsevier on behalf of the American College of Cardiology Foundation.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.jaccas.2019.05.033
• Title of Journal or Parent Work: JACC Case Rep
• Volume: 1
• Issue: 2
• Start Page: 168
• End Page: 170
• Keywords: PBA, plain balloon angioplasty; coronary artery bypass; coronary circulation; PCI, percutaneous coronary intervention; LIMA, left internal mammary artery; CABG, coronary artery bypass grafting; TIMI, Thrombolysis In Myocardial Infarction; percutaneous coronary intervention; DES, drug-eluting stent(s); BMS, bare-metal stent(s); STEMI, ST-segment elevation myocardial infarction; OTW, over the wire; LAD, left anterior descending
• Research Categories: Health Sciences, Medicine and Surgery

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.).