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Calin Ivascau
Dimitrios Buklas
Massimo Massetti
Eugenio Neri
Gerard Babatasi
Andrè Khayat
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Ann Thorac Surg 2005;79:348-351
© 2005 The Society of Thoracic Surgeons

Case report

Can An Early Peri-Anastomotic LITA Stenosis Be Reversible?

Calin Ivascau, MDa, Dimitrios Buklas, MDa, Massimo Massetti, MD*,a, Remy Sabatier, MDb, Olivier LePage, MDa, Eugenio Neri, MDc, Gerard Babatasi, MDa, Andrè Khayat, MDa

a Department of Thoracic and Cardiovascular Surgery, Caen, France
b Department of Cardiology, University Hospital Center, Caen, France
c Dipartimento di Chirurgia, Unità Operative di Chirurgia dell'Aorta Toracica e Chirurgia Vascolare, Università degli Studi di Siena, Siena, Italy

Accepted for publication August 15, 2003.

* Address reprint requests to Dr Massetti, Thoracic and Cardiovascular Surgery Department, CHU Ave de la "Cote de Nacre," Caen 14033, France
massetti-m{at}chu-caen.fr

Peri-anastomotic graft stenosis is a possible complication of coronary artery bypass graft operations. Early failure of myocardial revascularization may result from graft stenosis with inherent difficulties in perioperative diagnosis and subsequent management. We report the case of a 58-year-old man who experienced early preanastomotic left internal thoracic artery bypass stenosis that progressively resolved during a 2-year period without reoperation or interventional angioplasty. Although the mechanisms underlying graft stenosis remain unclear, this case emphasizes the role of repeated coronary angiography in the choice of treatment.






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