Copyright
©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Nov 26, 2019; 11(11): 277-281
Published online Nov 26, 2019. doi: 10.4330/wjc.v11.i11.277
Published online Nov 26, 2019. doi: 10.4330/wjc.v11.i11.277
Management of atherosclerotic plaque in left internal mammary artery graft five years after angiographic patency: A case report
Savvy Nandal, Om Narayan, Peter Barlis, Francis A Ponnuthurai, Department of Cardiology, The Northern Hospital, Epping, Victoria 3076, Australia
Author contributions: Nandal S wrote the manuscript and reviewed the literature. Ponnuthurai F and Narayan O were patient’s intervention cardiologists. Ponnuthurai F, Narayan O and Barlis P reviewed the literature and revised the final version of the manuscript. All authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016). The guidelines of the CARE Checklist (2016) have been adopted.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Savvy Nandal, MBBS, Research Associate, Department of Cardiology, The Northern Hospital, 185 Cooper Street, Epping, Victoria 3076, Australia. savvy.nandal@nh.org.aa
Telephone: +61-38-4058000 Fax: +61-38-4058405
Received: May 30, 2019
Peer-review started: June 4, 2019
First decision: August 2, 2019
Revised: August 9, 2019
Accepted: October 7, 2019
Article in press: October 7, 2019
Published online: November 26, 2019
Processing time: 176 Days and 0.3 Hours
Peer-review started: June 4, 2019
First decision: August 2, 2019
Revised: August 9, 2019
Accepted: October 7, 2019
Article in press: October 7, 2019
Published online: November 26, 2019
Processing time: 176 Days and 0.3 Hours
Core Tip
Core tip: Late complications of the left internal mammary artery (LIMA) graft occur rarely. We present the case of a 67-year-old man with an acute myocardial infarction due to the rapid progression of atherosclerotic plaque in the mid shaft of the IMA, culminating in plaque rupture and thromboembolism. This case highlights the importance of consideration of expectant thrombus management as well as the importance of considering late complication of LIMA graft as a cause of acute coronary syndrome.