Anomalous origin of the left thyrocervical trunk as a cause of residual pain after myocardial revascularization with internal mammary artery.
A patient with successful implantation of an internal mammary artery graft in the left anterior descending coronary artery complained of residual but different anginal pain after operation. Ischemia was demonstrated during a manual stress test. Angiography revealed anomalous origin of the thyrocervical trunk from the internal mammary artery. Angina and ischemia disappeared after the trunk was ligated.
Tartini
R
R
Steinbrunn
W
W
Kappenberger
L
L
Goebel
N
N
Turina
M
M
D001158:Arteries; D004562:Electrocardiography; D005080:Exercise Test; D006801:Humans; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization; D010146:Pain / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology; D013909:Thorax; D013961:Thyroid Gland / Q000098:blood supply*