Impaired Myocardial Perfusion from Persistent Mammary Side Branches: A Role for Functional Imaging and Embolization

The diagnosis and management of ischemic symptoms in patients after coronary artery bypass surgery can be challenging. It has been hypothesized that persistent branches of the internal mammary artery can divert flow from the left anterior descending artery and cause symptoms. We present a case in wh...

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Main Authors: Michael S. Firstenberg, Gregory Guy, Charles Bush, Subha V. Raman
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.4061/2010/203459
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author Michael S. Firstenberg
Gregory Guy
Charles Bush
Subha V. Raman
author_facet Michael S. Firstenberg
Gregory Guy
Charles Bush
Subha V. Raman
author_sort Michael S. Firstenberg
collection DOAJ
description The diagnosis and management of ischemic symptoms in patients after coronary artery bypass surgery can be challenging. It has been hypothesized that persistent branches of the internal mammary artery can divert flow from the left anterior descending artery and cause symptoms. We present a case in which successful coil embolization of a side branch improved flow and clinical symptoms. Side branch embolization might be a useful treatment option and should be considered in the management of symptomatic patients with a patent mammary graft.
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spelling doaj-art-806fa2d1a3ff496bb68a0eab8f0cca492025-02-03T01:30:47ZengWileyCardiology Research and Practice2090-05972010-01-01201010.4061/2010/203459203459Impaired Myocardial Perfusion from Persistent Mammary Side Branches: A Role for Functional Imaging and EmbolizationMichael S. Firstenberg0Gregory Guy1Charles Bush2Subha V. Raman3Division of Cardiothoracic Surgery, The Ohio State University Medical Center, N817 Doan Hall, Columbus, OH 43210, USADepartment of Radiology, The Ohio State University Medical Center, N817 Doan Hall, Columbus, OH 43210, USADepartment of Cardiology, The Ohio State University Medical Center, N817 Doan Hall, Columbus, OH 43210, USADepartment of Cardiology, The Ohio State University Medical Center, N817 Doan Hall, Columbus, OH 43210, USAThe diagnosis and management of ischemic symptoms in patients after coronary artery bypass surgery can be challenging. It has been hypothesized that persistent branches of the internal mammary artery can divert flow from the left anterior descending artery and cause symptoms. We present a case in which successful coil embolization of a side branch improved flow and clinical symptoms. Side branch embolization might be a useful treatment option and should be considered in the management of symptomatic patients with a patent mammary graft.http://dx.doi.org/10.4061/2010/203459
spellingShingle Michael S. Firstenberg
Gregory Guy
Charles Bush
Subha V. Raman
Impaired Myocardial Perfusion from Persistent Mammary Side Branches: A Role for Functional Imaging and Embolization
Cardiology Research and Practice
title Impaired Myocardial Perfusion from Persistent Mammary Side Branches: A Role for Functional Imaging and Embolization
title_full Impaired Myocardial Perfusion from Persistent Mammary Side Branches: A Role for Functional Imaging and Embolization
title_fullStr Impaired Myocardial Perfusion from Persistent Mammary Side Branches: A Role for Functional Imaging and Embolization
title_full_unstemmed Impaired Myocardial Perfusion from Persistent Mammary Side Branches: A Role for Functional Imaging and Embolization
title_short Impaired Myocardial Perfusion from Persistent Mammary Side Branches: A Role for Functional Imaging and Embolization
title_sort impaired myocardial perfusion from persistent mammary side branches a role for functional imaging and embolization
url http://dx.doi.org/10.4061/2010/203459
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