CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2023; 12(01): e4-e6
DOI: 10.1055/s-0043-1760750
Case Report: Cardiac

Coronary Anastomosis In Stent—Useful to Do When No Other Alternative Is Given?

Robert Balan
1   Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
Christian Mogilansky
1   Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
Markus Czesla
1   Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
1   Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
› Author Affiliations


Background Many patients being referred for coronary artery bypass grafting have a history of percutaneous coronary intervention (PCI).

Case Description In a patient after multiple PCI of the left anterior descending artery (LAD), repeated in-stent stenosis was diagnosed. The LAD being covered with stents to the periphery, no meaningful anastomosis with stent-free vessel was possible. After thorough discussion with the patient, the referring cardiologist, and our local heart team, an in-stent anastomosis was planned and created, that was found to be angiographically patent 21 months after surgery with the patient free from angina.

Conclusion Without any alternative treatment method given, our approach of in-stent anastomosis confers a good mid-term angiographic result.

Publication History

Received: 27 August 2022

Accepted: 08 November 2022

Article published online:
30 January 2023

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