title: Coronary artery bypass grafting following in-stent restenosis of drug-eluting stents deployed in the left main coronary artery.
abstract: 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Japan. skanemitsu70@yahoo.co.jp
authors.forename: Shinji
authors.initials: S
authors.lastname: Kanemitsu
authors.forename: Keizo
authors.initials: K
authors.lastname: Tanaka
authors.forename: Jin
authors.initials: J
authors.lastname: Tanaka
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Suzuki
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Kinoshita
mesh_terms: 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