Key result
Rescue percutaneous transluminal coronary angioplasty successfully treated an acute anterior myocardial infarction resulting from intraoperative LIMA injury during redo bypass surgery.
Rescue PTCA can be a successful management strategy for acute anterior myocardial infarction resulting from intraoperative LIMA injury during redo CABG.
May support rescue PTCA in rare intraoperative LIMA injury; leaves open prospective validation before broader adoption.
A patient with a patent left internal mammary artery (LIMA) to the left anterior descending (LAD) artery required repeat bypass grafting to the distal right coronary artery (RCA). Intraoperative injury to the LIMA resulted in acute anterior myocardial infarction, which was managed by successful rescue percutaneous transluminal coronary angioplasty (PTCA).
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Khurana et al. (1997) studied this question. Rescue percutaneous transluminal coronary angioplasty successfully treated an acute anterior myocardial infarction resulting from intraoperative LIMA injury during redo bypass surgery.
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