Use of the Internal Mammary Artery for Myocardial Revascularization in a Patient With Radiation-Induced Coronary Artery Disease

FARID GHARAGOZLOO, IAN P. CLEMENTS, CHARLES J. MULLANY

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

A 9-year-old boy with clinical stage IIA Hodgkin's disease underwent radiotherapy to the neck and mediastinum. Twenty-two years later, he sought medical attention because of angina pectoris. Cardiac catheterization revealed proximally located high-grade stenoses of the left main, left anterior descending, circumflex, and right coronary arteries. He underwent coronary artery bypass grafting with use of the left internal mammary artery to the left anterior descending coronary artery and reversed saphenous vein grafts to the circumflex and right coronary arteries. The postoperative course was uncomplicated. Previous radiotherapy to the mediastinum should be considered a risk factor for the development of premature coronary artery disease. Surgical revascularization is the preferred method of management. A combination of an internal mammary artery graft and a saphenous vein graft should be used in young patients.

Original languageEnglish (US)
Pages (from-to)1081-1084
Number of pages4
JournalMayo Clinic Proceedings
Volume67
Issue number11
DOIs
StatePublished - Jan 1 1992

ASJC Scopus subject areas

  • Medicine(all)

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