Document Detail

Failed Depiction of Patent Bypass Graft Due to Presence of Large Lateral Costal Artery.
MedLine Citation:
PMID:  22156279     Owner:  NLM     Status:  Publisher    
We report a rare case of failed depiction of a patent right internal thoracic artery (RITA) to left anterior descending artery (LAD) bypass on 64-slice multidetector row computed tomographic (MDCT) angiography due to the presence of a large lateral costal artery. A 66-year-old male with acute coronary syndrome due to triple vessel disease underwent urgent coronary artery bypass grafting, in which bilateral ITA and saphenous vein grafts were used. Postoperative MDCT angiography showed an occluded RITA-LAD bypass, which was eventually shown to be patent by angiography. Angiography also revealed a large lateral costal artery that was considered to affect the flow to the LAD. Thus, coil embolization of the branch was attempted. However, it was abandoned because the patient suffered from severe back and intercostal pain during balloon occlusion of the lateral costal artery. Postoperative MDCT angiography is not always accurate for the assessment of graft patency in patients with large ITA side branches. In addition, embolization is not always possible because occlusion of this large branch may cause severe pain when its size becomes quite large.
Hiroyuki Nishi; Taichi Sakaguchi; Shigeru Miyagawa; Yasushi Yoshikawa; Satsuki Fukushima; Satoru Sumitsuji; Yoshiki Sawa
Related Documents :
22171229 - Coexistence of vasospasm and microembolism detected by transcranial doppler ultrasonogr...
20173539 - Giant aneurysm clipping under protection of an excimer laser-assisted non-occlusive ana...
17963349 - Off-pump coronary artery bypass grafting in moyamoya disease.
22156159 - Caval agenesis with a hypoplastic left kidney in a patient with trauma on warfarin for ...
16482929 - Physiological comparison of off-pump and on-pump coronary artery bypass grafting in pat...
21906159 - Aneurysmal dilatation of the inferior vena cava.
22570779 - A new approach of in vivo musculoskeletal tissue engineering using the epigastric arter...
21298199 - The vascular endothelium masks the persistent inhibition of rat thoracic arterial tone ...
11472729 - Paraoxonase producing pon1 gene m/l55 polymorphism is related to autopsy-verified arter...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-9
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  -     ISSN:  1341-1098     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Treatment of Delayed Neurological Deficits after Surgical Repair of Thoracic Aortic Aneurysm.
Next Document:  Perivalvular Pseudoaneurysm Caused by Streptococcus Dysgalactiae in the Presence of Prosthetic Aorti...