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EuroIntervention. 2009 Nov;5(5):627-32.

How should I treat a complex Post-CABG patient?

Author information

1
Department of Cardiology, Erasmus MC, Thoraxcenter, Rotterdam, The Netherlands.

Abstract

BACKGROUND:

A 69 year old man was admitted with unstable angina (Class IIB). He had a history of chronic renal impairment, diabetes mellitus, hypertension and coronary bypass surgery in 1997 (LIMA graft to the LAD anf diagonal branch, saphenous vein grafts to the RCA and first marginal branch of LCx.

INVESTIGATION:

Coronary angiography.

DIAGNOSIS:

Unstable angina (Class IIB). Occlusion of the LCx and RCA. Functionally occluded LIMA on the LAD and diagonal branch. Diffuse disease of the LAD with two significant lesions at the LAD-first diagonal and mid-distal LAD.

TREATMENT:

Revascularisation.

PMID:
20142185
[Indexed for MEDLINE]

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