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Ann Thorac Surg 1985;40:302-304
© 1985 The Society of Thoracic Surgeons

Articles

Anomalous Origin of the Left Thyrocervical Trunk as a Cause of Residual Pain after Myocardial Revascularization with Internal Mammary Artery

R. Tartini, M.D.*, W. Steinbrunn, M.D., L. Kappenberger, M.D., N. Goebel, M.D., M. Turina, M.D.

From the Departments of Medicine, Radiology, and Surgery A, University Hospital, Zürich, Switzerland

Accepted for publication September 20, 1984.

* Address reprint requests to Dr. Tartini, Medizinische Klinik, Kardiologie, Universitätsspital, Rämistrasse 100, CH-8091 Zürich, Switzerland

A patient with successful implantation of an internal mammary artery graft in the left anterior descending coronary artery complained of residual but different anginal pain after operation. Ischemia was demonstrated during a manual stress test. Angiography revealed anomalous origin of the thyrocervical trunk from the internal mammary artery. Angina and ischemia disappeared after the trunk was ligated.




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