title: Can an early peri-anastomotic LITA stenosis be reversible?
abstract: Peri-anastomotic graft stenosis is a possible complication of coronary artery bypass graft operations. Early failure of myocardial revascularization may result from graft stenosis with inherent difficulties in perioperative diagnosis and subsequent management. We report the case of a 58-year-old man who experienced early preanastomotic left internal thoracic artery bypass stenosis that progressively resolved during a 2-year period without reoperation or interventional angioplasty. Although the mechanisms underlying graft stenosis remain unclear, this case emphasizes the role of repeated coronary angiography in the choice of treatment.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University Hospital Center, Caen, France.
authors.forename: Calin
authors.initials: C
authors.lastname: Ivascau
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Buklas
authors.forename: Massimo
authors.initials: M
authors.lastname: Massetti
authors.forename: Remy
authors.initials: R
authors.lastname: Sabatier
authors.forename: Olivier
authors.initials: O
authors.lastname: LePage
authors.forename: Eugenio
authors.initials: E
authors.lastname: Neri
authors.forename: Gerard
authors.initials: G
authors.lastname: Babatasi
authors.forename: Andrè
authors.initials: A
authors.lastname: Khayat
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D003251:Constriction, Pathologic; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000473:pathology*; D012075:Remission, Spontaneous; D013895:Thoracic Arteries / Q000473:pathology* / Q000601:surgery; D013997:Time Factors; D016042:Transplantation, Heterotopic
chemical_list: D000319:Adrenergic beta-Antagonists