Acute coronary syndrome due to native coronary occlusion proximal to a patent bypass graft: a case report.

ABSTRACT:

Background

Primary percutaneous coronary intervention (PCI) for acute coronary syndrome has significantly contributed to improvements in overall outcomes. However, clinical challenges exist when performing urgent PCI for patients with a history of coronary artery bypass grafting (CABG).

Case summary

An 83-year-old man with a history of CABG presented with an inferior ST-elevation myocardial infarction (STEMI). Emergent coronary angiography showed an occlusion of the right coronary artery that had been previously grafted with the right gastroepiploic artery. Primary PCI for the native coronary artery was performed on the assumption that the bypass graft had been occluded. We were unable to attain angiographic antegrade flow after balloon angioplasty, and intravascular ultraso

SUBMITTER: Kitazono K 

PROVIDER: S-EPMC7873799 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature