Document Detail

Transbrachial coil occlusion of the large branch of an internal mammary artery coronary graft.
MedLine Citation:
PMID:  15108789     Owner:  NLM     Status:  MEDLINE    
Percutaneous transbrachial insertion of two complex coils into the intercostal branch of the left internal mammary artery resulted in the relief of severe angina in a 45-year-old man who had coronary artery bypass surgery 2 years before. The diagnosis of coronary artery steal was made clinically. This case illustrates the importance of recognizing coronary steal in patients who redevelop angina after coronary artery surgery with the use of an incompletely prepared left internal mammary artery as a conduit. Brachial or radial artery should be preferred to reach left internal mammary artery (LIMA) for cannulation easily. The preoperative angiographic imaging of LIMA is important to detect the side branches and their sizes. The patient was treated without the need for further surgery.
Ertugrul Ercan; Istemihan Tengiz; Cevat Sekuri; Emil Aliyev; Mumin Etemoglu; Suleyman Sari; Mustafa Akin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  19     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2004 Jan-Feb
Date Detail:
Created Date:  2004-04-27     Completed Date:  2004-06-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  45-6     Citation Subset:  IM    
Cardiology Department, Central Hospital, Izmir, Turkey.
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MeSH Terms
Angioplasty, Balloon / methods*
Coronary Angiography
Coronary Artery Bypass / adverse effects*,  methods
Coronary Circulation / physiology
Coronary Disease / radiography,  surgery*
Follow-Up Studies
Graft Occlusion, Vascular / radiography,  therapy*
Internal Mammary-Coronary Artery Anastomosis / methods
Mammary Arteries / transplantation*
Middle Aged
Risk Assessment
Severity of Illness Index
Treatment Outcome
Vascular Patency / physiology

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

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