The Open Cardiovascular Imaging Journal

2009, 1 : 13-15
Published online 2009 January 27. DOI: 10.2174/1876538600901010013
Publisher ID: TOCARIJ-1-13

Encasement of the Left Internal Mammary Arterial Graft to the Left Coronary Artery by Adenosquamous Carcinoma, an Unusual Tumor

Pallavi Solanki , Alfonso H. Waller , Abbas Shehadeh , Pierre D. Maldjian , Edo Kaluski , Muhamed Saric and Yuliya Kats
Echocardiography Laboratory, Division of Cardiovascular Diseases, New Jersey Medical School, 185 South Orange Avenue I-538, University Heights, Newark, NJ 07103, USA.

ABSTRACT

We report a case of a patient with a previous coronary artery bypass graft who presented with chest pain and was found to have adenosquamous carcinoma encasing the left internal mammary graft to left anterior descending artery – the only viable vessel to his coronary circulation. Adenosquamous carcinoma, a rare lung cancer with a poor prognosis, causing obstruction of a bypass graft has not been previously reported.

Keywords:

Echocardiography, adenosquamous carcinoma, coronary bypass surgery, left internal mammary artery.