The use of Amplatzer Vascular Plug(®) to treat coronary steal due to unligated thoracic side branch of left internal mammary artery: four year follow-up results.

Left internal mammary artery (LIMA) is the most commonly used graft during coronary bypass surgery. LIMA side branches are clipped during surgery in order to prevent coronary steal. In cases of patent LIMA side branches, there are differingapproaches. Herein, we report a case with patent thoracic side branch of LIMA graft, occlusion of this side branch by Amplatzer Vascular Plug because of documented myocardial ischemia, and long term follow-up results.

[1]  W. French,et al.  Use of the Amplatzer Vascular Plug for treatment of coronary steal. , 2008, International journal of cardiology.

[2]  M. Zoghi,et al.  Transbrachial coil occlusion of unligated thoracic side branch of arterial graft of internal mammary artery leading to silent ischemia in a diabetic patient. , 2006, International journal of cardiology.

[3]  R. Doğan,et al.  Bilateral multiple pulmonary arteriovenous malformations: endovascular treatment with the Amplatzer Vascular Plug. , 2006, Journal of vascular and interventional radiology : JVIR.

[4]  M. Kern,et al.  Fallacy of thoracic side‐branch steal from the internal mammary artery: Analysis of left internal mammary artery coronary flow during thoracic side‐branch occlusion with pharmacologic and exercise‐induced hyperemia , 2004, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[5]  S. Gallina,et al.  Persistence of mammary artery branches and blood supply to the left anterior descending artery. , 1997, The Annals of thoracic surgery.

[6]  M. Kern,et al.  Interventional physiology. Part XIII: Role of large pectoralis branch artery in flow through a patent left internal mammary artery conduit. , 1995, Catheterization and cardiovascular diagnosis.

[7]  W. C. Sheldon,et al.  Influence of the internal-mammary-artery graft on 10-year survival and other cardiac events. , 1986, The New England journal of medicine.

[8]  J. A. Sosa,et al.  Internal mammary artery--coronary artery anastomosis. Influence of the side branches on surgical result. , 1981, The Journal of thoracic and cardiovascular surgery.

[9]  F. Loop Technique for performance of internal mammary artery-coronary artery anastomosis. , 1979, The Journal of thoracic and cardiovascular surgery.

[10]  M. Rohman,et al.  Internal mammary-coronary artery anastomosis. A nonsuture method employing tantalum rings. , 1961, The Journal of thoracic and cardiovascular surgery.