title: Spontaneous recanalization of a completely occluded saphenous vein graft two months following acute myocardial infarction with persistent one year patency.
abstract: 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.
authors.affiliation: Division of Cardiovascular Diseases, University of California, San Diego, CA 92093-0682, USA.
authors.forename: Patrick P
authors.initials: PP
authors.lastname: Hu
authors.forename: Kirk L
authors.initials: KL
authors.lastname: Peterson
authors.forename: Sotirios
authors.initials: S
authors.lastname: Tsimikas
mesh_terms: 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
chemical_list: D005343:Fibrinolytic Agents; D001241:Aspirin