scholarly journals Internal Mammary Artery Injury without Chest Wall Fractures after Cardiopulmonary Resuscitation: A Case Report

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Sayuri Tokioka ◽  
Shinichiro Masuda ◽  
Masamitsu Shirokawa ◽  
Takashi Shibui
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Chest Wall ◽  
Internal Mammary Artery ◽  
Blood Gas Analysis ◽  
Coronary Intervention ◽  
Gas Analysis ◽  
Internal Mammary ◽  
Emergency Percutaneous Coronary Intervention ◽  
The Right ◽  
Internal Mammary Artery Injury

High-quality cardiopulmonary resuscitation (CPR) is crucial for survival from cardiac arrest. However, various chest compression-associated injuries have been reported. Internal mammary artery (IMA) injury is one of the rare complications after CPR, and most of cases include rib and sternum fractures. In this report, we describe a rare case of IMA injury without chest wall fractures after CPR. An 85-year-old man with a history of acute myocardial infarction 2 weeks prior visited to our hospital for sustained ventricular tachycardia (VT). After admission, sustained VT requiring CPR occurred several times. Emergency coronary angiogram revealed 90% stenosis at the left anterior descending artery. Hence, emergency percutaneous coronary intervention (PCI) was performed. During the PCI, blood gas analysis showed decreasing serum hemoglobin levels. Contrast computed tomography revealed hemothorax and extravasation at the branch of the right IMA without chest wall fractures. The patient’s deteriorating hemodynamic condition precluded thoracotomy or embolization to stop the bleeding. The patient died on the next day of hospitalization. IMA injury can occur after CPR, regardless of chest wall fractures and can be fatal without early diagnosis. For an emergency physician, IMA injury should be considered as a cause of unknown anemia after CPR.

scholarly journals A nasty surprise: cardiogenic shock induced by extensive dissection of the left internal mammary artery graft occurring 3 months after coronary angiography—a case report

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Henning Ebelt ◽  
Peter Röhl ◽  
Andreas Schwenzky ◽  
Matthias Hoyme ◽  
Matthias Wiora
Keyword(s):  
Acute Coronary Syndrome ◽  
Bypass Surgery ◽  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Coronary Intervention ◽  
Coronary Syndrome ◽  
Threatening Condition ◽  
Internal Mammary ◽  
Life Threatening ◽  
Acute Dissection

Abstract Background Acute dissection of the left internal mammary artery (LIMA) graft in patients with previous cardiac bypass surgery is a rare but potentially life-threatening condition. Case summary A 58-year-old man with history of coronary artery disease and bypass surgery 15 years ago presented with acute coronary syndrome (non-ST-elevation myocardial infarction, NSTEMI). Angiography showed severe three-vessel disease with occlusion of a saphenous vein graft (SVG) to the first diagonal branch but patents grafts to left artery descendent (LIMA) and SVG to the right coronary artery. No coronary intervention was performed and the patient was treated medically (aspirin and ticagrelor) and discharged home after 6 days. Three months later, the patient again was admitted to the hospital with acute coronary syndrome (NSTEMI) and developing cardiogenic shock. Angiography now showed an extensive flow limiting dissection of his LIMA graft with the dissection starting at the ostium of the LIMA. After implantation of an Impella 2.5, percutaneous coronary intervention (PCI) of the graft was performed under guidance by optical coherence tomography (OCT) leading to implantation of a drug-eluting stent into the ostium of the LIMA and repeated balloon dilatations of the medial and distal parts of the graft. Antegrade flow was established and the patient’s condition improved so that the Impella was removed in the cath lab. After an uneventful course, the patient was discharged home after 6 days. Elective repeat angiography after 8 weeks showed an excellent functional result without persisting signs of LIMA dissection or stenosis. Discussion Acute dissection of a LIMA graft is a rare event that may lead to a life-threatening condition. According to the literature, LIMA dissection happens during coronary interventions in approximately half of the cases but it also may evolve spontaneously. However, as seen from our case, there might be a substantial delay between LIMA angiography and the clinical onset of dissection. In the vast majority of cases, dissection of LIMA can be treated by PCI. The use of Impella as reported for the first time in this case may improve the safety of the procedure. In accordance to PCI of the native coronary arteries, it seems possible to leave non-flow limiting dissections in cases of extensive disease in order to avoid the late complications of complete stenting of the graft.

scholarly journals Atherosclerotic aneurysm of the right internal mammary artery presenting as a mediastinal mass

1994 ◽  
Vol 107 (6) ◽  
pp. 1535-1536 ◽  
Author(s):  
Stephen Wildhirt ◽  
Lothar Eckel ◽  
Friedhelm Beyersdorf ◽  
Peter Satter
Keyword(s):  
Internal Mammary Artery ◽  
Mediastinal Mass ◽  
Internal Mammary ◽  
Atherosclerotic Aneurysm ◽  
The Right

scholarly journals Internal Mammary Artery Injury Related to Chest Compressions in a Patient with Post-cardiac Arrest Syndrome

2016 ◽  
Vol 55 (10) ◽  
pp. 1299-1303 ◽  
Author(s):  
Shoji Kawakami ◽  
Teruo Noguchi ◽  
Takahito Doi ◽  
Yoshio Tahara ◽  
Yoshihiro Sanda ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Internal Mammary Artery ◽  
Chest Compressions ◽  
Artery Injury ◽  
Internal Mammary ◽  
Internal Mammary Artery Injury ◽  
Post Cardiac Arrest Syndrome

Internal mammary artery pseudoaneurysms complicating chest wall infection in children

2001 ◽  
Vol 25 (6) ◽  
pp. 396-399 ◽  
Author(s):  
Hemant Deshmukh ◽  
Srinivasa R. Prasad ◽  
Tufail Patankar ◽  
Madhavi Zankar
Keyword(s):  
Chest Wall ◽  
Internal Mammary Artery ◽  
Internal Mammary

The YUMIKO™ catheter: a useful tool for angiography of the right internal mammary artery via a right brachial approach

2003 ◽  
Vol 5 (2) ◽  
pp. 98-101
Author(s):  
Mitsuyoshi Hadase ◽  
Tatsuya Kawasaki ◽  
Satoshi Asada ◽  
Tadaaki Kamitani ◽  
Shingo Kawasaki ◽  
...  
Keyword(s):  
Internal Mammary Artery ◽  
Internal Mammary ◽  
The Right
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