Internal mammary artery angiography should be a routine component of diagnostic coronary angiography

Feit, Alan; Reddy, C.V.R.; Cowley, Carlos; Ibrahim, Bassiema; Zisbrod, Zvi

doi:10.1002/ccd.1810250202

Cited by 53 publications

(36 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the study by Feit et al [2], there was one complication consisting of a transient occipital visual field loss in a 75-year-old hypertensive female. There were no complications reported in the study by Bauer et al [ …”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Anomalous origin of left internal mammary artery from the lateral junction of the left subclavian artery and aorta

Chavez

Osborn

1996

Cathet. Cardiovasc. Diagn.

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 97%

“…[2] performed left internal mammary artery angiography in 130 patients, with significant findings in 15% of cases. Between 4-5% of native internal mammary arteries were found to be unacceptable for surgery.…”

Section: Discussionmentioning

confidence: 99%

Anomalous origin of left internal mammary artery from the lateral junction of the left subclavian artery and aorta

Chavez

Osborn

1996

Cathet. Cardiovasc. Diagn.

View full text Add to dashboard Cite

“…Finally, patients who are being evaluated for repeat CABG may have had damage to the ITA during their previous procedure. Feit et al noted two instances in their study in which the ITA had been cut off or snared in the wire sutures from a previous bypass procedure, rendering it unusable as a graft (16).…”

Section: Discussionmentioning

confidence: 99%

“…Feit et al recommend making ITA angiography a routine part of a diagnostic coronary angiography once the patient has been deemed a surgical candidate, as signifi cant fi ndings occurred in 15% of cases (16). A similar study by Bauer et al revealed surgically signifi cant fi ndings in 30% of patients, 4% to 5% of which required modifi cation of surgical strategy (17).…”

Section: Discussionmentioning

confidence: 99%

Abnormal Origin of the Left Internal Thoracic Artery Detected Only by Computed Tomography

McMaster¹,

Blanc²,

Hamman³

et al. 2013

Baylor University Medical Center Proceedings

View full text Add to dashboard Cite

The origins of the branches of the subclavian artery are known to be variable. We present the case of a 55-year-old man whose coronary artery bypass surgery necessitated the use of the internal thoracic artery as he lacked other suitable venous conduits. The left internal thoracic artery appeared to be absent on subselective subclavian angiography. Computed tomographic angiography revealed a previously undescribed anomaly: origin of the internal thoracic artery from a thyrocervical trunk arising directly from the aortic arch. CASE REPORTA 55-year-old steel company supervisor with multiple coronary risk factors had previously undergone multivessel coronary stenting following an abnormal stress test. One year later, a repeat stress test was again abnormal, and a new drug-eluting stent was placed in a de novo lesion. Dual antiplatelet therapy was continued. Several days later the patient reported a progressively severe headache, and computed tomography (CT) scanning revealed an acute right temporoparietal hemorrhagic infarct. All antiplatelets were discontinued. Seven months later, he developed angina pectoris, and repeat coronary angiography showed multiple stenoses necessitating coronary artery bypass grafting (CABG).During angiography, the operator was unable to visualize the left internal thoracic artery (ITA) even on subselective injections of the subclavian artery (SCA). As the patient had previously undergone bilateral lower-extremity vein stripping, knowledge of the presence and suitability of the ITA was deemed essential given the paucity of potential graft conduits. CT angiogram revealed the presence of the left ITA arising from the thyrocervical trunk (TCT), which arose directly from the aortic arch (Figure). Flow in the ITA was not impeded.During the operation the left ITA was successfully harvested and had visibly normal fl ow. It was then sewn in a side-to-side fashion to the large diagonal ramus, and then it was coursed over and was sewn end-to-side to the intramyocardial portion of the left anterior descending coronary artery. Th e patient's postoperative recovery was smooth, and 6 months later he was active and symptom free. DISCUSSIONTh e ITA, TCT, vertebral artery, and costocervical trunk make up the four major branches of the fi rst part of the SCA. Th e ITA normally arises from the anteroinferior aspect of the fi rst part of the SCA at about the same level as the TCT, which has its origin on the anterosuperior aspect of the SCA. Th e TCT has three main branches: 1) the inferior thyroid artery, 2) the transverse cervical artery, and 3) the suprascapular artery (1). Variances in the origin of both the ITA and TCT have been reported. Th e ITA has been reported to arise anomalously from the TCT as well as from each of its branches (2-4). In addition, the ITA has been reported to arise anomalously from the third intercostal artery (5), from the lateral junction of the SCA and the aorta (6), from the distal part of the SCA (2), and from the axillary artery (2) and to be unilaterally as well as bilate...

show abstract

“…In 4% of patients, modification of surgical strategy was required. Feit et al (1992) performed LITA angiography in 130 patients, with significant findings in 15% of cases. Between 4-5% of native ITA were found to be unacceptable for surgery.…”

Section: Discussionmentioning

confidence: 99%

Anomalous Origin of Left Internal Thoracic Artery from the Second Intercostal Artery

2012

View full text Add to dashboard Cite

SUMMARY: Left internal thoracic artery (LITA) has increased importance and common use in coronary bypass grafting because of long-term better patency rate and improvement in both the duration and quality of survival of patients. LITA is a branch of the first part of the subclavian artery. We report a case in which the LITA originated from the second left intercostal artery. A 71-year-old man with a history of angina pectoris for 1 month was admitted to the hospital because of progressive increase in anginal symptoms. During the operation, it was noted that the LITA originated from the second intercostal artery. LITA used as a free graft. LITA was anastomosed to the left anterior descending coronary artery. He was free of symptoms 4 weeks after operation. To our knowledge, this is the first reported case of the LITA originating from the second intercostal artery.

show abstract

Internal mammary artery angiography should be a routine component of diagnostic coronary angiography

Cited by 53 publications

References 12 publications

Anomalous origin of left internal mammary artery from the lateral junction of the left subclavian artery and aorta

Anomalous origin of left internal mammary artery from the lateral junction of the left subclavian artery and aorta

Abnormal Origin of the Left Internal Thoracic Artery Detected Only by Computed Tomography

Anomalous Origin of Left Internal Thoracic Artery from the Second Intercostal Artery

Contact Info

Product

Resources

About