Incidental Finding and Endovascular Repair of a Left Internal Mammary Artery Aneurysm following a Multivessel Coronary Artery Bypass Graft
True aneurysms discovered within the internal mammary artery are extremely rare and typically have an asymptomatic occurrence. Their presentation and management have also been variable due to their low incidence, decreased detection, or lack of documentation. They have a high risk for morbidity or m...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2021/8831235 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832550542931394560 |
|---|---|
| author | Osayi Lawani Jiries Ganim Rick Ganim |
| author_facet | Osayi Lawani Jiries Ganim Rick Ganim |
| author_sort | Osayi Lawani |
| collection | DOAJ |
| description | True aneurysms discovered within the internal mammary artery are extremely rare and typically have an asymptomatic occurrence. Their presentation and management have also been variable due to their low incidence, decreased detection, or lack of documentation. They have a high risk for morbidity or mortality as they can possibly rupture with increasing size and thus become life-threatening. Coronary CT angiography is the most definitive test for confirming and finding complications related to the aneurysm. With an increase in the aging population and advancement in the techniques used in coronary artery bypass grafting, it is likely that the rate of recorded occurrence of aneurysms and pseudoaneurysms will increase. Endovascular repair is currently the most favored treatment modality. In this report, we describe a case of a 74-year-old male who was incidentally found to have a left internal mammary artery aneurysm following complaints of chest pain related to another nearly occluded grafted vessel. To the best of our knowledge, and following an extensive literature review, this is likely the first documented case of a true aneurysm found within a left internal mammary artery bypass graft. The patient recovered well following placement of a covered stent; however, upon follow-up one year later, he was found to have stenosis of the same vessel, which was subsequently treated without further complication. |
| format | Article |
| id | doaj-art-2f02eda6b371413e91dc00abb901f7de |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-2f02eda6b371413e91dc00abb901f7de2025-02-03T06:06:31ZengWileyCase Reports in Cardiology2090-64042090-64122021-01-01202110.1155/2021/88312358831235Incidental Finding and Endovascular Repair of a Left Internal Mammary Artery Aneurysm following a Multivessel Coronary Artery Bypass GraftOsayi Lawani0Jiries Ganim1Rick Ganim2HCA Houston Healthcare-Kingwood, USAUniversity of Southern California, USAVital Heart & Vein, USATrue aneurysms discovered within the internal mammary artery are extremely rare and typically have an asymptomatic occurrence. Their presentation and management have also been variable due to their low incidence, decreased detection, or lack of documentation. They have a high risk for morbidity or mortality as they can possibly rupture with increasing size and thus become life-threatening. Coronary CT angiography is the most definitive test for confirming and finding complications related to the aneurysm. With an increase in the aging population and advancement in the techniques used in coronary artery bypass grafting, it is likely that the rate of recorded occurrence of aneurysms and pseudoaneurysms will increase. Endovascular repair is currently the most favored treatment modality. In this report, we describe a case of a 74-year-old male who was incidentally found to have a left internal mammary artery aneurysm following complaints of chest pain related to another nearly occluded grafted vessel. To the best of our knowledge, and following an extensive literature review, this is likely the first documented case of a true aneurysm found within a left internal mammary artery bypass graft. The patient recovered well following placement of a covered stent; however, upon follow-up one year later, he was found to have stenosis of the same vessel, which was subsequently treated without further complication.http://dx.doi.org/10.1155/2021/8831235 |
| spellingShingle | Osayi Lawani Jiries Ganim Rick Ganim Incidental Finding and Endovascular Repair of a Left Internal Mammary Artery Aneurysm following a Multivessel Coronary Artery Bypass Graft Case Reports in Cardiology |
| title | Incidental Finding and Endovascular Repair of a Left Internal Mammary Artery Aneurysm following a Multivessel Coronary Artery Bypass Graft |
| title_full | Incidental Finding and Endovascular Repair of a Left Internal Mammary Artery Aneurysm following a Multivessel Coronary Artery Bypass Graft |
| title_fullStr | Incidental Finding and Endovascular Repair of a Left Internal Mammary Artery Aneurysm following a Multivessel Coronary Artery Bypass Graft |
| title_full_unstemmed | Incidental Finding and Endovascular Repair of a Left Internal Mammary Artery Aneurysm following a Multivessel Coronary Artery Bypass Graft |
| title_short | Incidental Finding and Endovascular Repair of a Left Internal Mammary Artery Aneurysm following a Multivessel Coronary Artery Bypass Graft |
| title_sort | incidental finding and endovascular repair of a left internal mammary artery aneurysm following a multivessel coronary artery bypass graft |
| url | http://dx.doi.org/10.1155/2021/8831235 |
| work_keys_str_mv | AT osayilawani incidentalfindingandendovascularrepairofaleftinternalmammaryarteryaneurysmfollowingamultivesselcoronaryarterybypassgraft AT jiriesganim incidentalfindingandendovascularrepairofaleftinternalmammaryarteryaneurysmfollowingamultivesselcoronaryarterybypassgraft AT rickganim incidentalfindingandendovascularrepairofaleftinternalmammaryarteryaneurysmfollowingamultivesselcoronaryarterybypassgraft |