Spontaneous Recanalized Thrombus in the Left Internal Mammary Artery.

ABSTRACT:

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.

SUBMITTER: Chourdakis E 

PROVIDER: S-EPMC12441382 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature