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.
Sarno
Giovanna
G
Department of Cardiology, Erasmus MC, Thoraxcenter, Rotterdam, The Netherlands.
Schultz
Carl
C
Garg
Scot
S
Ligthart
Jurgen
J
Garcia
Hector M
HM
Serruys
Patrick W
PW
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