This report describes the case of an 82-year-old male patient with coronary artery disease; he underwent CABG in 1986, PCI with bare stent placement in the distal anastomosis of a left internal thoracic artery (LITA)/anterior descending artery (ADA) in 2003 and at the time of this report was at high risk for unstable angina. Coronary angiography demostrated severe stenosis of the 1/3 of the left coronary artery trunk, saphenous vein grafts and the LITA graft anastomosed to the anterior descending artery patent. The patient was successfully treated by coronary angioplasty of the "protected" left coronary artery trunk/ circumflex artery using a paclitaxel eluting stent.
Angina, unstable; Angioplasty, transluminal, percutaneous coronary; Stents; Paclitaxel
