AI Article Synopsis
- A 57-year-old man had surgery to improve blood flow to his heart, using a graft with the left internal mammary artery.
- 21 months later, he experienced chest discomfort, leading to an angiogram that showed a blockage in the graft and issues with the artery.
- This unusual finding highlights the significance of competitive blood flow in such surgical procedures.
Article Abstract
A 57-year-old man underwent multiple-arterial revascularization including a sequential left internal mammary artery graft to the diagonal branch and left anterior descending coronary artery. Twenty-one months later, repeat angiography due to a new onset of chest discomfort confirmed string sign and nonfunctional proximal left internal mammary artery, and antegrade filling of the distal leg of the sequential graft and the left anterior descending artery through the diagonal branch. This is a known but uncommon angiographic finding that confirms the importance of eventual competitive flow.
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| http://dx.doi.org/10.1177/0218492314537506 | DOI Listing |
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