Abstract
Adhesions or unattended injury are known but are seldom reasons to prevent withdrawing the use of the left internal thoracic artery during coronary artery bypass grafting. The patient in this case report was a 68-year-old man, who had undergone repair for aortic coarctation 34 years prior to coronary artery bypass grafting. After left internal thoracic artery harvesting, a no-flow situation of the graft was present. Transection of the graft revealed massive atherosclerotic alterations. To avoid unnecessary left internal thoracic artery harvesting, preoperative imaging in terms of a left internal thoracic artery angiography during coronary angiography is mandatory. The fact of finding massive alterations decades after pressure reduction indicates that relief from shear stress is not necessarily combined with remodeling of vascular alterations.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
