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* From the Cardiovascular Division (Dr. Piana), Vanderbilt University Medical Center, Nashville, TN; and the Cardiovascular and Cardiac Surgical Divisions (Drs. M. Adams, Orford, Popma, D. Adams, and Goldhaber), Brigham and Womens Hospital, Harvard Medical School, Boston, MA.
Correspondence to: Robert N. Piana, MD, Director, Cardiac Catheterization Laboratories, Vanderbilt University Medical Center, 2311 Pierce Ave, Nashville, TN 37232-8802; e-mail: Robert.Piana{at}mcmail.vanderbilt.edu
Perioperative graft failure after coronary artery bypass graft (CABG) can result in acute myocardial infarction with dire clinical consequences. We report a case of rescue percutaneous coronary intervention immediately after unsuccessful CABG. This approach salvaged the patient from cardiogenic shock and should be recognized as a viable alternative to immediate reoperation for certain patients.
Key Words: angioplasty catheterization coronary artery bypass graft stent
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