How should I treat a complex Post-CABG patient?
BACKGROUND
A 69 year old man was admitted with unstable angina (Class IIB). He had a history of chronic renal impairment, diabetes mellitus, hypertension and coronary bypass surgery in 1997 (LIMA graft to the LAD anf diagonal branch, saphenous vein grafts to the RCA and first marginal branch of LCx.


METHODS
Coronary angiography.


METHODS
Unstable angina (Class IIB). Occlusion of the LCx and RCA. Functionally occluded LIMA on the LAD and diagonal branch. Diffuse disease of the LAD with two significant lesions at the LAD-first diagonal and mid-distal LAD.


METHODS
Revascularisation.
Department of Cardiology, Erasmus MC, Thoraxcenter, Rotterdam, The Netherlands.
Giovanna
G
Sarno
Carl
C
Schultz
Scot
S
Garg
Jurgen
J
Ligthart
Hector M
HM
Garcia
Patrick W
PW
Serruys
D000368:Aged; D000789:Angina, Unstable / Q000209:etiology / Q000601:surgery; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D002317:Cardiovascular Agents / Q000008:administration & dosage; D002908:Chronic Disease; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery*; D048909:Diabetes Complications / Q000601:surgery; D054855:Drug-Eluting Stents; D000068338:Everolimus; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D006973:Hypertension / Q000150:complications; D007674:Kidney Diseases / Q000150:complications; D008297:Male; D020123:Sirolimus / Q000008:administration & dosage / Q000031:analogs & derivatives; D016896:Treatment Outcome
D002317:Cardiovascular Agents; D000068338:Everolimus; D020123:Sirolimus