64-Slice CT scan for the detection of iatrogenic anastomosis of left internal mammary artery to a cardiac vein

Marco Centola, Laura Forzenigo, Marco Ferlini, Gian B. Danzi

Research output: Contribution to journalArticle

Abstract

The iatrogenic anastomosis of left internal mammary artery to a cardiac vein is a rare complication of coronary artery bypass surgery, potentially leading to recurrent chest pain or myocardial infarction. Contrast angiography is currently the gold standard to assess by pass graft patency, but it is an invasive procedure and a potentially harmful diagnostic method with a small risk of complications. Recently non-invasive method such as conventional computed tomography (CT) has been evaluated for the assessment of by pass graft patency. This report highlights the non-invasive use of 64-slice CT scan to accurately identify an uncommon error of distal anastomosis of the left internal mammary artery to a cardiac vein during bypass surgery.

Original languageEnglish
JournalEuropean Journal of Radiology Extra
Volume67
Issue number3
DOIs
Publication statusPublished - Sep 2008

Fingerprint

Mammary Arteries
Veins
Tomography
Transplants
Chest Pain
Coronary Artery Bypass
Angiography
Myocardial Infarction

Keywords

  • Coronary artery bypass surgery
  • CT scan
  • Iatrogenic anastomosis of left internal mammary artery

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

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AU - Ferlini, Marco

AU - Danzi, Gian B.

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AB - The iatrogenic anastomosis of left internal mammary artery to a cardiac vein is a rare complication of coronary artery bypass surgery, potentially leading to recurrent chest pain or myocardial infarction. Contrast angiography is currently the gold standard to assess by pass graft patency, but it is an invasive procedure and a potentially harmful diagnostic method with a small risk of complications. Recently non-invasive method such as conventional computed tomography (CT) has been evaluated for the assessment of by pass graft patency. This report highlights the non-invasive use of 64-slice CT scan to accurately identify an uncommon error of distal anastomosis of the left internal mammary artery to a cardiac vein during bypass surgery.

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