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Anatomical anomalies following coronary artery bypass surgery
  1. Rohin Francis,
  2. Ramyah Rajakulasingam,
  3. Azad Ghuran
  1. Department of Cardiology, Lister Hospital, Stevenage, UK
  1. Correspondence to Dr Ramyah Rajakulasingam, Department of Cardiology, Lister Hospital, Coreys Mill Lane, Stevenage SG1 4AB, UK; rr405{at}ic.ac.uk

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A middle-aged man underwent cardiac catheterisation for evaluation of recurrent angina several years after two-vessel coronary artery bypass grafting (left internal mammary arterial (LIMA) graft to left anterior descending artery (LAD) and saphenous vein graft to intermediate artery). Angiography demonstrated that both grafts had occluded, with proximal LIMA occlusion. His native coronary arteries were severely diseased and a redo coronary …

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