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Reza Tavakoli
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Ann Thorac Surg 2005;80:1904-1907
© 2005 The Society of Thoracic Surgeons

Case report

Respiratory Dependent Compression of a Venous Bypass: Therapy by Stenting

Markus J. Wilhelm, MD a , c , * , Martin Igual, MD b , Raymond Mury, MD b , Reza Tavakoli, MD a , Raoul Pescia, MD c , Bruno Vettiger, MD b , David Koller, MD b , Marko I. Turina, MD a , d , Michele Genoni, MD a

a Department of Cardiovascular Surgery, City Hospital Triemli, Zurich, Switzerland
b Department of Cardiology, City Hospital Triemli, Zurich, Switzerland
c Department of Nuclear Medicine, City Hospital Triemli, Zurich, Switzerland
d Department of Cardiovascular Surgery, University Hospital, Zurich, Switzerland

Accepted for publication June 7, 2004.

* Address correspondence to Dr Wilhelm, Department of Cardiovascular Surgery, University Hospital Zurich, Raemistr 100, Zurich CH 8091, Switzerland (Email: markus.wilhelm{at}swissonline.ch).

Although coronary artery bypass surgery has provided major advances in the treatment of coronary artery disease, narrowing of bypass vessels still constitutes a drawback of this therapy. Although this event is most frequently caused by intraluminal processes, obstruction from external structures is extremely rare. We report such a case in which external bypass compression was provoked by deep inspiration causing typical anginal symptoms. Percutaneous coronary intervention including stent placement provided bypass patency independent from the patient's respiratory phase. Disappearance of symptoms and absence of myocardial ischemia in perfusion scans confirmed successful treatment.






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