An 82-year-old male patient presented to our department with non-ST-segment myocardial infarction (TIMI score 6). He underwent bypass surgery in 1995. The native proximal circumflex artery had undergone bare metal stenting six months before to treat stable angina (CCS 3).
Emergency angiography identified open venous grafts to the left anterior descending artery, the first diagonal branch, and the right coronary artery (Figure 1). The circumflex artery showed severe proximal in-stent stenosis which was treated by balloon dilatation using up to 18 atm and 3.5 mm diameter balloons. A stent did not pass the lesion and the patient left the table with relevant residual stenosis.
Department of Cardiology and Angiology, University Hospital Münster, Münster, Germany
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