PMC9886442_01
Left anterior descending artery of the patient with distal tip of stent load, as indicated by black arrow.
10-1055-s-0043-1760750-i0820220449crc-1.jpg
PMC9886442_01_10-1055-s-0043-1760750-i0820220449crc-1.jpg
FI0820220449crc-1
Our patient was a 72-year-old lady with a history of multiple PCI, the LAD being covered with stents from its proximal segment to the periphery ( Fig. 1 ).
Left anterior descending artery with contrast medium, showing a small native vessel beyond the end of the stent, which is indicated by black arrow.
10-1055-s-0043-1760750-i0820220449crc-2.jpg
PMC9886442_01_10-1055-s-0043-1760750-i0820220449crc-2.jpg
FI0820220449crc-2
On the other hand, the remains of the LAD were too small for an anastomosis in stent-free territory ( Fig. 2 ).
Intraoperative view of left anterior descending artery after stent incision, with coronary plaque at the bottom of the vessel.
10-1055-s-0043-1760750-i0820220449crc-3.jpg
PMC9886442_01_10-1055-s-0043-1760750-i0820220449crc-3.jpg
FI0820220449crc-3
Thereafter, the incision looked ready for suturing, a large coronary plaque was found at the bottom of the incision site ( Fig. 3 ).
Patent anastomosis between left mammary artery and left anterior descending artery with good run-off into the periphery of the left anterior descending artery after a follow-up of 21 months after coronary artery bypass grafting.
10-1055-s-0043-1760750-i0820220449crc-4.jpg
PMC9886442_01_10-1055-s-0043-1760750-i0820220449crc-4.jpg
FI0820220449crc-4
 The patient agreed to undergo control coronary angiography at 21 months after surgery, which showed a patent anastomosis and good run-off into her LAD ( Fig. 4 ).