Coronary artery bypass grafting following in-stent restenosis of drug-eluting stents deployed in the left main coronary artery.
Two cases of drug-eluting stent restenosis after percutaneous coronary intervention in the left main coronary artery and its bifurcation are presented. An off-pump coronary artery bypass grafting following in-stent restenosis was performed. Drug-eluting stents have shown a reduced frequency of in-stent restenosis and a good safety profile compared with bare metal stents. However, intervention with drug-eluting stents for left main coronary artery disease should be undertaken with care. It is also important to note that preoperative anti-platelet drug administration can increase the risk of major bleeding during and after emergent surgery.
Kanemitsu
Shinji
S
Department of Thoracic and Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Japan. skanemitsu70@yahoo.co.jp
Tanaka
Keizo
K
Tanaka
Jin
J
Suzuki
Hitoshi
H
Kinoshita
Toshihiko
T
D000368:Aged; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D023903:Coronary Restenosis / Q000175:diagnosis / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D054855:Drug-Eluting Stents; D005260:Female; D006801:Humans; D008297:Male