摘要
A82-year-old man,with a previous history of ischemic heart disease due to 3-vessel disease with left main(LM)involvement.Twenty years before he underwent a double coronary artery bypass graft(left internal mammary artery(LIMA)to left anterior descending coronary artery(LAD)and saphein graft to Posterior Descending coronary artery(PDA));subsequent follow-up was uneventful.He was admitted to our hospital due to an acute coronary syndrome with ST segment abnormalities in the lateral and inferior leads on baseline EKG.