PMC3670194_01
Coronary Angiogram showing Left Main Stem stenosis (white arrow) and proximal Left Anterior Descending Coronary Artery stenosis (black arrow)
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An urgent coronary angiogram carried out showed that the previous stents were still patent but with a 50% left main stem stenosis and a 95% proximal LAD stenosis (Figure 1).
Left Internal Mammary Artery being anastomosed to the Left Anterior Descending Coronary Artery
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The LIMA to LAD anastomosis was performed with 6-0 prolene suture (Figure 2).