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Angiology
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Pseudo-Lesion of Internal Mammary Artery Graft and Left Anterior Descending Artery During Percutaneous Transluminal Angioplasty

A Case Report

Mario Zanchetta, MD

Department of Cardiovascular Diseases, Cittadella Civic Hospital, Cittadella, Padova, Italy, emodinacit{at}ulss15.pd.it

Luigi Pedon, MD

Department of Cardiovascular Diseases, Cittadella Civic Hospital, Cittadella, Padova, Italy

Gianluca Rigatelli, MD, FANMCO, FACA

Department of Cardiovascular Diseases, Cittadella Civic Hospital, Cittadella, Padova, Italy

Zoran Olivari, MD

Unit of Interventional Cardiology, Cardiovascular Department, Treviso General Hospital, Treviso, Italy

Marco Zennaro, MD

Department of Cardiovascular Diseases, Cittadella Civic Hospital, Cittadella, Padova, Italy

Pietro Maiolino, MD

Department of Cardiovascular Diseases, Cittadella Civic Hospital, Cittadella, Padova, Italy

New lesions appearing during coronary angioplasty may be due to spasms, dissection, and thrombosis. Straightening of the tortuous vessels by guidewire may produce transient angiographic pseudo-lesions, which mimic severe artery damage. An additional case is reported, in which simultaneous artifactual lesions involved the internal mammary artery and the left anterior descending coronary artery, mimicking thrombosis and dissection. Recognition of this entity is essential to avoid unnecessary interventions and potentially harmful complications.

Angiology, Vol. 55, No. 4, 459-462 (2004)
DOI: 10.1177/000331970405500415
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