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Ann Thorac Surg 2002;73:650-652
© 2002 The Society of Thoracic Surgeons

Case report

Reoperative transmyocardial laser revascularization for late recurrent angina

Richard Lee, MDa, Keith C. Fischer, MDb, Marc R. Moon, MD*a

a Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA
b Division of Nuclear Medicine, Washington University School of Medicine, St. Louis, Missouri, USA

Accepted for publication April 27, 2001.

* Address reprint requests to Dr Moon, Division of Cardiothoracic Surgery, Washington University School of Medicine, 3108 Queeny Tower, #1 Barnes-Jewish Plaza, St. Louis, MO 63110-1013, USA
e-mail: moonm{at}msnotes.wustl.edu

Transmyocardial laser revascularization (TMR) reduces anginal class and is indicated for severely symptomatic patients who are not candidates for conventional revascularization. This report describes a 72-year-old man who presented 4 years following initially successful TMR with recurrent angina refractory to maximal medical management. Reoperative TMR was performed with substantial improvement in angina and functional class.




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