Can an early peri-anastomotic LITA stenosis be reversible?
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.
Ivascau
Calin
C
Department of Thoracic and Cardiovascular Surgery, University Hospital Center, Caen, France.
Buklas
Dimitrios
D
Massetti
Massimo
M
Sabatier
Remy
R
LePage
Olivier
O
Neri
Eugenio
E
Babatasi
Gerard
G
Khayat
Andrè
A
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
D000319:Adrenergic beta-Antagonists