title: Neovascularization of Thymoma From Left Internal Mammary Artery Bypass Graft.
abstract: We present the case of a type AB thymoma in a 69-year-old man with previous coronary artery bypass grafting (CABG) in whom angiography revealed a left internal mammary artery graft supplying blood flow to a thymic neoplasm, which simultaneously occluded the graft. This required a redo sternotomy, lysis of pericardial adhesions, complete thymectomy, and redo one vessel off-pump CABG. This case seeks to sensitize physicians to the possibility of coronary adverse events in patients with a previous CABG in the setting of management of mediastinal neoplasms, and it presents the novel findings on cardiac imaging associated with this case.
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
authors.forename: Jordan Y
authors.initials: JY
authors.lastname: Dubique
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center Heart and Vascular Institute, Pittsburgh, Pennsylvania.
authors.forename: Harma
authors.initials: H
authors.lastname: Turbendian
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center Heart and Vascular Institute, Pittsburgh, Pennsylvania; Division of Cardiac Surgery, University of Pittsburgh Medical Center Heart and Vascular Institute, Pittsburgh, Pennsylvania. Electronic address: chud@upmc.edu.
authors.forename: Danny
authors.initials: D
authors.lastname: Chu
mesh_terms: D000368:Aged; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000009:adverse effects*; D008297:Male; D008479:Mediastinal Neoplasms / Q000098:blood supply*; D009389:Neovascularization, Pathologic / Q000209:etiology*; D013945:Thymoma / Q000098:blood supply*