Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 12, Number 7, July 2021, pages 271-274

Successful Rescue Intervention of Internal Mammary Artery Anastomotic Site Acute Graft Failure With Direct New Generation Covered Stenting

Figures

Figure 1.
Figure 1. Selective LIMA angiography in the (a) anterior-posterior (AP) and (b) right anterior oblique/cranial (RAO-CRAN) projection showing critical, flow-limiting disease of the LIMA to LAD anastomosis and of the native LAD immediately to the graft touchdown. LIMA: left internal mammary artery; LAD: left anterior descending.
Figure 2.
Figure 2. (a) Successful covered stent deployment across the LIMA to LAD anastomosis, followed by selective LIMA angiography in the RAO-CRAN and AP projections (b, c) showing antegrade TIMI grade 3 flow and excellent anterior and apical wall myocardial blushing. LIMA: left internal mammary artery; LAD: left anterior descending; RAO-CRAN: right anterior oblique-cranial; AP: anterior-posterior; TIMI: Thrombolysis in Myocardial Infarction.
Figure 3.
Figure 3. Selective native left coronary angiography in the RAO-CRAN projection shows excellent antegrade flow of the LAD proximal to the covered stent deployment (highlighted by arrow markings). RAO-CRAN: right anterior oblique-cranial; AP: anterior-posterior; LAD: left anterior descending.