Spontaneous recanalization of a completely occluded saphenous vein graft two months following acute myocardial infarction with persistent one year patency.
Acute myocardial infarction resulting from saphenous vein graft occlusion occurs not infrequently in patients who have undergone coronary artery bypass graft surgery. In this case report, we present a novel case of spontaneous recanalization of a thrombotic graft occlusion in a patient who presented with a subacute myocardial infarction. The patient was treated medically with aspirin as the only anti-platelet agent. Interestingly, he presented 2 months later with new onset angina. Coronary angiography demonstrated complete resolution of thrombus but a severe focal stenosis in the distal anastomoses. Following drug eluting stent placement, a favorable clinical course has ensued and patency confirmed on follow up angiography at 1 year.
Hu
Patrick P
PP
Division of Cardiovascular Diseases, University of California, San Diego, CA 92093-0682, USA.
Peterson
Kirk L
KL
Tsimikas
Sotirios
S
D000368:Aged; D001241:Aspirin / Q000008:administration & dosage*; D001026:Coronary Artery Bypass; D054855:Drug-Eluting Stents; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000628:therapy*; D012501:Saphenous Vein
D005343:Fibrinolytic Agents; D001241:Aspirin