Refractory Angina Secondary to Large Unligated Side Branch of Internal Mammary Artery
Highlights Coronary artery disease (CAD) has become a common diagnosis. Managing the symptoms of CAD continues to be an ongoing dilemma requiring optimal medication management or potential revascularization with either percutaneous coronary interventions or coronary artery bypass grafting (CABG). We...
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doaj-ea8c2b92f8734d2e924ffb1ade2df43d2020-11-25T02:31:35ZengBarcaray InternationalInternational Cardiovascular Forum Journal2410-26362409-34242018-01-01142830https://doi.org/10.17987/icfj.v14i0.527Refractory Angina Secondary to Large Unligated Side Branch of Internal Mammary ArteryZachary Oman0Lucas Gu1Nauman Khalid2Rahil Rafeedheen3Hassan Alkhawam4Ammar Nasir5Department of Internal Medicine, St. Louis University School of Medicine, St. Louis, MissouriDepartment of Internal Medicine, St. Louis University School of Medicine, St. Louis, MissouriSection of Interventional Cardiology, MedStar Washington Hospital Center, DCDepartment of Cardiovascular Disease, University of Arkansas Medical SciencesThe Center for Comprehensive Cardiovascular Care, Department of Cardiovascular Medicine, St. Louis University School of Medicine, St. Louis, MissouriThe Center for Comprehensive Cardiovascular Care, Department of Cardiovascular Medicine, St. Louis University School of Medicine, St. Louis, MissouriHighlights Coronary artery disease (CAD) has become a common diagnosis. Managing the symptoms of CAD continues to be an ongoing dilemma requiring optimal medication management or potential revascularization with either percutaneous coronary interventions or coronary artery bypass grafting (CABG). We present a case of debilitating refractory angina in a patient with severe CAD after optimal medical therapy and CABG secondary to coronary steal phenomenon via the left internal mammary artery conduit supplying a large unligated side branch to the internal chest wall. While current data are inconclusive on this phenomenon, our patient had complete resolution of angina following coil embolization of unligated side branch of the internal mammary artery.https://icfjournal.org/index.php/icfj/article/view/527/pdfcoronary artery diseasecoronary steal phenomenonrefractory angina |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Zachary Oman Lucas Gu Nauman Khalid Rahil Rafeedheen Hassan Alkhawam Ammar Nasir |
spellingShingle |
Zachary Oman Lucas Gu Nauman Khalid Rahil Rafeedheen Hassan Alkhawam Ammar Nasir Refractory Angina Secondary to Large Unligated Side Branch of Internal Mammary Artery International Cardiovascular Forum Journal coronary artery disease coronary steal phenomenon refractory angina |
author_facet |
Zachary Oman Lucas Gu Nauman Khalid Rahil Rafeedheen Hassan Alkhawam Ammar Nasir |
author_sort |
Zachary Oman |
title |
Refractory Angina Secondary to Large Unligated Side Branch of Internal Mammary Artery |
title_short |
Refractory Angina Secondary to Large Unligated Side Branch of Internal Mammary Artery |
title_full |
Refractory Angina Secondary to Large Unligated Side Branch of Internal Mammary Artery |
title_fullStr |
Refractory Angina Secondary to Large Unligated Side Branch of Internal Mammary Artery |
title_full_unstemmed |
Refractory Angina Secondary to Large Unligated Side Branch of Internal Mammary Artery |
title_sort |
refractory angina secondary to large unligated side branch of internal mammary artery |
publisher |
Barcaray International |
series |
International Cardiovascular Forum Journal |
issn |
2410-2636 2409-3424 |
publishDate |
2018-01-01 |
description |
Highlights Coronary artery disease (CAD) has become a common diagnosis. Managing the symptoms of CAD continues to be an ongoing dilemma requiring optimal medication management or potential revascularization with either percutaneous coronary interventions or coronary artery bypass grafting (CABG). We present a case of debilitating refractory angina in a patient with severe CAD after optimal medical therapy and CABG secondary to coronary steal phenomenon via the left internal mammary artery conduit supplying a large unligated side branch to the internal chest wall. While current data are inconclusive on this phenomenon, our patient had complete resolution of angina following coil embolization of unligated side branch of the internal mammary artery. |
topic |
coronary artery disease coronary steal phenomenon refractory angina |
url |
https://icfjournal.org/index.php/icfj/article/view/527/pdf |
work_keys_str_mv |
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