{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:52Z","timestamp":1753876252196,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,1,8]],"date-time":"2021-01-08T00:00:00Z","timestamp":1610064000000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Avulsion of the left internal mammary artery (LIMA) graft near the anastomosis to the left anterior descending artery (LAD) artery post-coronary artery bypass grafting (CABG) is a rare but potentially catastrophic complication which can result in sudden ischaemia, haemodynamic compromise and life-threatening bleeding into the pericardium.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We report a case of a spontaneous LIMA graft avulsion at the site of the anastomosis to the LAD artery, which occurred 4\u2009weeks post-conventional CABG surgery and resulted in anterior myocardial infarction (MI), cardiac tamponade and cardiogenic shock. This life-threatening event was treated by deploying a covered stent in the LAD artery and by coiling the dehisced LIMA graft.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>To our knowledge, this is the first report of late LIMA graft avulsion that has been uniquely and successfully treated by percutaneous coronary intervention.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa524","type":"journal-article","created":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T21:18:47Z","timestamp":1610572727000},"source":"Crossref","is-referenced-by-count":5,"title":["Successful percutaneous treatment of a catastrophic left internal mammary artery graft avulsion occurring 4 weeks post-coronary artery bypass grafting surgery: a case report"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1478-0629","authenticated-orcid":false,"given":"Shana","family":"Tehrani","sequence":"first","affiliation":[{"name":"Department of Cardiology, Frimley Health NHS Foundation Trust, Portsmouth Rd, Camberley GU16 7UJ,UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1924-5804","authenticated-orcid":false,"given":"Sudhir","family":"Rathore","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Frimley Health NHS Foundation Trust, Portsmouth Rd, Camberley GU16 7UJ,UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,12,22]]},"reference":[{"key":"2021021009395380500_ytaa524-B1","article-title":"Avulsion of the left internal mammary artery after minimally invasive coronary bypass","author":"John","year":"1997","journal-title":"Ann Thorac Surg"},{"key":"2021021009395380500_ytaa524-B2","first-page":"1401","article-title":"Avulsion of the left internal mammary artery graft after minimally invasive coronary surgery","volume":"71","author":"Marc","year":"2001","journal-title":"Ann Thorac Surgery"},{"issue":"5","key":"2021021009395380500_ytaa524-B3","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1053\/jcan.2000.9440","article-title":"Salerno Tomas A. Avulsion of an H graft during closed-chest cardiopulmonary resuscitation after minimally invasive coronary artery bypass graft surgery","volume":"14","author":"Marco","year":"2000","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"2021021009395380500_ytaa524-B4","doi-asserted-by":"crossref","DOI":"10.1510\/icvts.2005.127381","article-title":"Non-anastomotic avulsion of a left internal mammary artery graft - a rare complication of minimally invasive direct coronary artery bypass surgery","author":"Asherson Andrew","year":"2006","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2021021009395380500_ytaa524-B5","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1258\/rsmmsl.49.1.60","article-title":"Sperhake Jan P. Avulsion of the left internal mammary artery graft after minimally invasive coronary surgery: fatal complication or medical error? A case report","volume":"49","author":"Viel","year":"2009","journal-title":"Med Sci Law"},{"key":"2021021009395380500_ytaa524-B6","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1016\/j.icvts.2004.08.001","article-title":"Acute transection of the left internal mammary artery remote from the anastomosis following coronary artery bypass surgery","volume":"3","author":"Morritt","year":"2004","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2021021009395380500_ytaa524-B7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/574346","article-title":"Perioperative avulsion of a left internal mammary artery graft in a patient with syphilis","volume":"2014","author":"Kaleda","year":"2014","journal-title":"Surg Res Pract"},{"issue":"4","key":"2021021009395380500_ytaa524-B8","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1097\/00005373-198204000-00014","article-title":"Embolotherapy of a ruptured internal mammary artery secondary to blunt chest trauma","volume":"22","author":"Smith Douglas","year":"1982","journal-title":"J Trauma - Inj Infect Crit Care"},{"key":"2021021009395380500_ytaa524-B9","article-title":"\u201cLIMA fissure\u201d for a tension-free IMA graft in emphysema","author":"Rao Podila Sita Rama","year":"1997","journal-title":"Ann Thorac Surg"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/2\/ytaa524\/36224451\/ytaa524.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/2\/ytaa524\/36224451\/ytaa524.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T05:35:10Z","timestamp":1613021710000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytaa524\/6068831"}},"subtitle":[],"editor":[{"given":"Gabor G","family":"Toth","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Alexandr","family":"Achim","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Ivan","family":"Ilic","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Carlos Minguito","family":"Carazo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Nida","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2020,12,22]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2,4]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaa524","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2021,2,1]]},"published":{"date-parts":[[2020,12,22]]},"article-number":"ytaa524"}}