Approach to total occlusion of an aorto-ostial "Y" saphenous vein graft with anterior descending graft limb stenosis by serial balloon angioplasty and elective stent deployment.
Coronary revascularization using balloon angioplasty and stent placement for unstable angina was performed in a 74-year-old woman with an aorto-ostial occlusion of a "Y-type" saphenous vein graft and a severe stenosis in the body of a 14-year-old left anterior descending saphenous vein graft. Multiple prior coronary bypass graft surgeries, location of branch graft lesions, and length of the ostial stenosis must be considered in selecting the approach to revascularization.
Flynn
M S
MS
Department of Internal Medicine, St. Louis University Hospital, MO 63110.
Caracciolo
E A
EA
Bach
R G
RG
Donohue
T J
TJ
Aguirre
F V
FV
Kern
M J
MJ
D000368:Aged; D000789:Angina, Unstable / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary; D005260:Female; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D009204:Myocardial Revascularization / Q000379:methods*; D012501:Saphenous Vein / Q000637:transplantation; D015607:Stents