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Luciano Barbato, Maria Antonietta Grasso, Salvatore Spagnolo, In-stent restenosis in the left anterior descending coronary artery: what is the solution for diffuse disease? Patch reconstruction and coronary artery bypass grafting—surgery as the first option in complex coronary artery disease, European Journal of Cardio-Thoracic Surgery, Volume 55, Issue 6, June 2019, Page 1238, https://doi.org/10.1093/ejcts/ezy395
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(A) A preoperative angiogram showing in-stent restenosis with a diffusely diseased LAD coronary artery. (B) Intraoperative image showing the opening of the coronary artery and the removal of the stent. (C) Operative technique: patch reconstruction and CABG with the LIMA. (D) At 18-month follow-up, an excellent patency (the LAD coronary artery and the graft with the LIMA) was observed. CABG: coronary artery bypass grafting; LAD: left anterior descending; LIMA: left internal mammary artery.