Rapid development of left main disease after coronary artery bypass grafting for failed angioplasty: a rare cause of postoperative angina.
We report a case of failed coronary angioplasty requiring urgent coronary artery bypass graft surgery. The return of angina pectoris early after surgery led to repeat catheterization, demonstrating a rapidly progressive stenosis of the left main coronary artery. This was treated successfully with coronary angioplasty. In patients with recurrent angina early after bypass surgery in whom angioplasty preceded surgery, acceleration of left main disease should be considered.
Kahn
J K
JK
Michigan Heart and Vascular Institute, St. Joseph Mercy Hospital, Ann Arbor.
Fischer
J C
JC
D000787:Angina Pectoris / Q000209:etiology*; D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005080:Exercise Test; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D013997:Time Factors; D017211:Treatment Failure