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Spontaneous avulsion of left internal mammary artery graft a complication of coronary artery bypass surgery: case report and review of the literature.
Nairat, Moath; Akram, Hamza; Alaqra, Amro; Al-Khdour, Issa; Othman, Wafiq; Yaghi, Nadine.
Afiliación
  • Nairat M; Department of Cardiac Surgery, An-Najah University Hospital, An-Najah National University, Nablus, P400, Palestinian Territories. m.nairat@najah.edu.
  • Akram H; Faculty of Medicine, An-Najah National University, Nablus, Palestinian Territories.
  • Alaqra A; Department of Cardiac Surgery, An-Najah University Hospital, An-Najah National University, Nablus, P400, Palestinian Territories.
  • Al-Khdour I; Department of Cardiac Surgery, An-Najah University Hospital, An-Najah National University, Nablus, P400, Palestinian Territories.
  • Othman W; Department of Anesthesia, An-Najah University Hospital, An-Najah National University, Nablus, Palestinian Territories.
  • Yaghi N; Faculty of Medicine, Al-Quds University, Abu Dis, Palestinian Territories.
J Cardiothorac Surg ; 19(1): 527, 2024 Sep 12.
Article en En | MEDLINE | ID: mdl-39267103
ABSTRACT

BACKGROUND:

Coronary artery bypass grafting (CABG) surgery is a common procedure for managing multi-vessel coronary artery disease to revascularize the myocardium. Among the various conduits used, the left internal mammary artery (LIMA) is preferred due to its better long-term patency rate. However, CABG procedures involving LIMA may result in rare but serious complications, such as avulsion of the LIMA post-CABG, which leads to disruption of blood flow to the myocardium and the development of fatal cardiac tamponade. CASE PRESENTATION We hereby present a unique case of spontaneous avulsion of a LIMA graft to the left anterior descending artery (LAD) away from the site of anastomosis, twenty-four hours following CABG surgery in a 67-year-old male patient. Emergency re-exploration and repair of the LIMA with interposition vein graft were performed and resulted in successful stabilization of the patient's critical condition. However, this was followed by a complicated recovery period involving atrial fibrillation, acute kidney injury, and wound infection.

CONCLUSION:

Avulsion of LIMA graft following CABG is rare, yet a fatal complication that requires high clinical suspicion and prompt management. Avulsion has been reported a few times in literature following both minimal invasive and conventional CABG. Understanding the etiology, clinical presentation, and management of this complication is crucial to avoid catastrophic outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Puente de Arteria Coronaria / Arterias Mamarias Límite: Aged / Humans / Male Idioma: En Revista: J Cardiothorac Surg Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Puente de Arteria Coronaria / Arterias Mamarias Límite: Aged / Humans / Male Idioma: En Revista: J Cardiothorac Surg Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido