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A Case Report of Acute Mid-graft Occlusion of the Left Internal Mammary Artery to the Left Anterior Descending Artery after PTCA Hiroaki Takenaka 1 , Satosi Yamazaki 1 , Minoru Hongo 1 , Hiroyoshi Yamada 1 , Shinichi Okubo 1 , Mituaki Isobe 1 , Morie Sekiguchi 1 , Masanori Harada 2 1The First Department of Internal Medicine, Shinshu University School of Medicine 2Gunma Junkanki Hospital Keyword: 心筋梗塞後狭心症 , 吻合部狭窄 , 経皮的冠動脈形成術 , postinfarction angina , anastomotic stenosis , PTCA (percutaneous transluminal coronary angioplasty pp.1209-1212
Published Date 1993/12/15
DOI https://doi.org/10.11477/mf.1404900787
  • Abstract
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A 66 year-old woman underwent coronary artery bypass grafting for postinfarction angina. A left inter-nal mammary artery graft was joined to the left ante-rior descending artery. Coronary and graft angiography revealed a 90% stenosis in the anastomotic site of the left internal mammary artery. During PTCA with a 2.0 mm balloon catheter, acute occlusion of the graft body occurred. Intragraft injection of isosorbide dinitrate failed to dilate the graft. Thus, careful consideration should be given to several complications such as acute occlusion of the graft when PTCA for anastomotic site of the graft is performed.


Copyright © 1993, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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