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A 77 year old man, having previously undergone triple vessel coronary artery bypass (CABG) surgery with a left internal mammary graft (LIMAG) to the left anterior descending (LAD), saphenous vein grafts (SVG) to the obtuse marginal (OM) and circumflex (Cx) branches, presented with an anterior acute coronary syndrome. Coronary angiography revealed an occluded Cx-SVG graft and patent OM-SVG. There was considerable difficulty in selectively intubating the …
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