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Coronary Anastomosis In Stent—Useful to Do When No Other Alternative Is Given?
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.
Keywordscoronary artery bypass grafting - anastomosis in-stent - percutaneous coronary intervention (PCI)
Received: 27 August 2022
Accepted: 08 November 2022
Article published online:
30 January 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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