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Spontaneous Recanalized Thrombus in the Left Internal Mammary Artery
Emmanouil Chourdakis1, Fabiola Costa1, Akiko Maehara2
1Department of Internal Medicine and Cardiology, Heart Center Lahr, Baden, Germany.
Background:
We report a conspicuous lesion in the proximal to ostial segment of the left internal mammary artery (LIMA) occurring 28 years post-intervention in an 87-year-old man.
Case Summary:
The patient reported dyspnea on exertion. Intracoronary imaging revealed a spontaneous recanalized thrombus, which is a rare and mostly underdiagnosed entity. Percutaneous coronary intervention was performed.
Discussion:
This multimodality appproach supported us, not only to recognize and understand the haziness at the LIMA graft, but also to guide our intervention of a LIMA bypass.
Take-Home Message:
This case presents the importance of intravascular imaging to reveal hazy lesions such as in our case.
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