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Ann Thorac Surg 1999;67:236-238
© 1999 The Society of Thoracic Surgeons

Case Reports

Rescue revascularization for acute coronary occlusion late after radiotherapy

Thierry Caus, MDa, Isabelle Canavy, MDa, Thierry Mesana, MD, PhDa, Eric Garcia, MDa, Jean Raoul-Monties, MDa

a Department of Cardiovascular Surgery, Timone Hospital, University Aix-Marseille II, Marseilles, France

Accepted for publication June 16, 1998.

Address reprint requests to Dr Caus, Department of Cardiovascular Surgery, Timone Hospital, University Aix-Marseille II, 13005 Marseilles, France

Because radiation-induced coronary artery stenoses are frequently severe and located proximally, some patients are admitted in emergency. This report describes the case of a 47-year-old woman with radiation-induced stenosis of the left main coronary artery who presented with cardiac arrest during angiography. The patient was successfully treated using circulatory assistance and percutaneous transluminal coronary angioplasty as a bridge to coronary artery bypass grafting.






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