A 57 year old man required emergency coronary artery bypass surgery after dissection of the left main coronary artery during percutaneous transluminal coronary angioplasty. His symptoms recurred when the vein grafts became occluded. A dilatation device with the lowest profile was used to reduce the need for firm support from the guiding catheter during repeat percutaneous transluminal coronary angioplasty. The repeat procedure was successful in opening up the left circumflex coronary artery.
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