Post-Coronary Artery Bypass Grafting Myocardial Ischemia Caused by an Overgrown Left Internal Thoracic Artery Side Branch

Kim, Eung Re; Oh, Se Jin; Kang, Hyun–Jae; Kim, Ki-Bong

doi:10.5090/kjtcs.2014.47.5.465

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…In an analysis of 262 patients who underwent angiography before coronary artery bypass grafting (CABG) surgery, anomalies of the internal thoracic artery in the large side branch with a diameter greater than 30% of the LITA were present in 8.8% of patients [6]. Falconieri et al [7] reported on a patient with pseudoaneurysm of a branch of the LITA after cardiac surgery, and Kim et al [8] presented a case of post-CABG myocardial ischemia that was caused by an overgrown LITA side branch. However, there was no report of bleeding of the LITA branch due to pericardiocentesis.…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic shock due to branch injury of the left internal thoracic artery two days after pericardiocentesis

Hijikata

Miyamoto

Yamaguchi

et al. 2018

Journal of Cardiology Cases

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Pericardiocentesis is a definitive strategy to remove pericardial effusion. In this report, we present a rare case of a 23-year-old man with sudden delayed hemorrhagic shock due to branch bleeding of the left internal thoracic artery (LITA) two days after undergoing pericardiocentesis. Angiography, embolization, and drainage were effective. As far as we know, this is the first report that shows delayed bleeding due to branch injury of the LITA as a possible complication after pericardiocentesis.

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Section: Discussionmentioning

confidence: 99%

Hemorrhagic shock due to branch injury of the left internal thoracic artery two days after pericardiocentesis

Hijikata

Miyamoto

Yamaguchi

et al. 2018

Journal of Cardiology Cases

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“…Out of the 31 publications, 15 publications 57,59–72 had utilized coil embolization as the modality of percutaneous closure either as a stand‐alone method or in combination with other additional techniques.…”

Section: Elective Indications For Coil Embolizationmentioning

confidence: 99%

Coils embolization use for coronary procedures: Basics, indications, and techniques

Loh,

Brilakis,

Gasparini

et al. 2023

Cathet Cardio Intervent

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The use of coils is fundamental in interventional cardiology and can be lifesaving in selected settings. Coils are classified by their materials into bare metal, fiber coated, and hydrogel coated, or by the deliverability method into, pushable or detachable coils. Coils are delivered through microcatheters and the choice of coil size is important to ensure compatibility with the inner diameter of the delivery catheter, firstly to be able to deliver and secondly to prevent the coil from being stuck and damaged. Clinically, coils are used in either acute or in elective setting. The most important acute indication is typically the sealing coronary perforation. In the elective settings, coils can be used for the treatment of certain congenital cardiac abnormalities, aneurysms, fistulas or in the treatment of arterial side branch steal syndrome after CABG. Coils must always be delivered under fluoroscopy guidance. There are some associated complications with coils that can be acute or chronic, that nictitates regular followed‐up. There is a need for education, training and regular workshops with hands‐on to build the experience to use coils in situations that are infrequently encountered.

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“…Coil embolization has long‐since been a therapeutic modality for vessel occlusion and has been shown to have a high technical success rate in numerous conditions, including cerebral aneurysms, systemic‐pulmonary collaterals, and coronary fistulas 43–45 . A large number of case reports describe total resolution of angina following coil embolization to LIMA side branches, with a high technical success rate 3,17,18,20,23,24,26,29–33,39,42,46,47 . In a large case series, Sbarouni et al 2 performed coil embolization in seven patients who had presented with stable angina with large unligated side branches, which all spanned at least 5–7 intercostal spaces.…”

Section: Therapeutic Interventionsmentioning

confidence: 99%

“…[43][44][45] A large number of case reports describe total resolution of angina following coil embolization to LIMA side branches, with a high technical success rate. 3,17,18,20,23,24,26,[29][30][31][32][33]39,42,46,47 In a large case series, Sbarouni et al 2 performed coil embolization in seven patients who had presented with stable angina with large unligated side branches, which all spanned at least 5-7 intercostal spaces. In five patients, complete occlusion of the branch was technically successful and resulted in total resolution of anginal symptoms.…”

Section: Coil Embolizationmentioning

confidence: 99%

Left internal mammary artery side branch intervention in the management of coronary steal syndrome following coronary artery bypass grafting

Mangels

Penny

Reeves

2019

Cathet Cardio Intervent

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Objective: The objective of this qualitative review is to summarize the pathophysiological and clinical data behind the clinical entity of left internal mammary artery (LIMA) side branch coronary steal as well as the potential diagnostic and therapeutic modalities available. Background: The presence of persistent unligated LIMA side branches following coronary artery bypass grafting has previously been associated with stable angina and acute coronary syndromes. However, despite numerous attempts to objectively demonstrate a coronary steal phenomenon, the pathophysiology of LIMA side branch flow diversion remains elusive and the clinical utility of intervention is not well elucidated. Methods: A review of literature and available data including case reports, case series, and investigational studies was performed. Results: Therapeutic closure of LIMA side branches has been reported in at least 44 patients and in at least 31 publications since 1990 and is associated with an 87.5% rate of freedom from angina amongst technically successful initial interventions. In all patients with pre-and post-stress testing, intervention was associated with an improvement and/or resolution of previously observed reversible ischemia. Conclusions: LIMA side branch coronary steal should remain an ongoing consideration in symptomatic patients with large unligated side branches on angiography, particularly when there is clear evidence of reversible ischemic on perfusion imaging.

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Post-Coronary Artery Bypass Grafting Myocardial Ischemia Caused by an Overgrown Left Internal Thoracic Artery Side Branch

Cited by 4 publications

References 7 publications

Hemorrhagic shock due to branch injury of the left internal thoracic artery two days after pericardiocentesis

Hemorrhagic shock due to branch injury of the left internal thoracic artery two days after pericardiocentesis

Coils embolization use for coronary procedures: Basics, indications, and techniques

Left internal mammary artery side branch intervention in the management of coronary steal syndrome following coronary artery bypass grafting

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