Spontaneous Dissection of Left Internal Mammary Artery Graft: A Case Report and Literature Review

Cardiovasc Revasc Med. 2023 Aug:53S:S235-S238. doi: 10.1016/j.carrev.2022.04.007. Epub 2022 Apr 30.

Abstract

Spontaneous left internal mammary artery (LIMA) graft dissection is a rare condition, and clinical findings remain to be elucidated. We report a case of LIMA graft dissection diagnosed by a coronary computed tomography and intravascular ultrasound. The patient was successfully treated with percutaneous intervention. We also conducted a literature review of published cases and summarized the clinical presentation, pathophysiology, diagnosis, and treatment.

Keywords: Left internal mammary artery graft; Spontaneous dissection.

Publication types

  • Review
  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary*
  • Coronary Angiography
  • Coronary Artery Bypass
  • Humans
  • Internal Mammary-Coronary Artery Anastomosis / adverse effects
  • Mammary Arteries* / diagnostic imaging
  • Mammary Arteries* / surgery