title: Transcollateral retrograde diagnostic coronary angiogram - important therapeutic implications for an occluded arterial coronary artery bypass graft.
abstract: This case illustrates the potential clinical usefulness of retrograde approach for selective visualization of distal vessels in a patient with multiple coronary chronic total occlusions and previous coronary artery bypass graft (CABG) surgery. By knowing in extreme detail the exact anatomy of the complex post-surgical coronary system, a successful treatment can be planned for the patient.
authors.affiliation: Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Tak-Shun
authors.initials: TS
authors.lastname: Chung
authors.affiliation: Department of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Egidius
authors.initials: E
authors.lastname: van Aarnhem
authors.affiliation: Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address: p.agostoni@umcutrecht.nl.
authors.forename: Pierfrancesco
authors.initials: P
authors.lastname: Agostoni
mesh_terms: D003097:Collateral Circulation / Q000502:physiology; D017023:Coronary Angiography / Q000379:methods*; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D003326:Coronary Circulation / Q000502:physiology; D004562:Electrocardiography / Q000379:methods; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D058687:Out-of-Hospital Cardiac Arrest / Q000000981:diagnostic imaging* / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000628:therapy
keywords: Coronary angiogram; Coronary artery bypass surgery; Retrograde procedure