RT Journal Article
SR Electronic
T1 Left internal mammary graft stenosis and restenosis following angioplasty and stenting
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP e9
OP e9
DO 10.1136/heart.86.3.e9
VO 86
IS 3
A1 Spencer, C G C
A1 Lip, G Y H
YR 2001
UL http://heart.bmj.com/content/86/3/e9.abstract
AB Coronary bypass grafts using the internal mammary artery usually have an excellent record of success and long term patency. We report a 42 year old man who initially presented with a history of atypical left sided chest pain, who had coronary artery bypass surgery for a severe stenosis in his proximal left anterior descending coronary artery (LAD) and moderate stenosis of his proximal circumflex artery, with his LIMA being grafted to his mid-LAD and a saphenous venous graft to the proximal LAD. He subsequently developed multiple stenoses in the LIMA graft which required coronary augioplasty and stenting, on more than one occasion, in view of very rapid restenosis within the LIMA graft.