Two-Level Stenting of Aortocoronary Bypass Graft in Acute Coronary Syndrome: A Case Report and Literature Review

Authors

  • Aslanbek A. Dubaev Medical Center named after R.P. Askerkhanov, Makhachkala, Russia.
  • Gamid R. Askerkhanov Dagestan State Medical University, Department of Hospital Surgery, Makhachkala, Russia.
  • Arslankhan E. Kandaurov Medical Center named after R.P. Askerkhanov, Makhachkala, Russia.
  • Medzhid A. Kazakmurzaev Medical Center named after R.P. Askerkhanov, Makhachkala, Russia.
  • Magomedshafi N. Sadyki Medical Center named after R.P. Askerkhanov, Makhachkala, Russia.
  • Ibragim A. Badyshev Medical Center named after R.P. Askerkhanov, Makhachkala, Russia.
  • Valentina N. Ryzanova Medical Center named after R.P. Askerkhanov, Makhachkala, Russia.

Keywords:

Acute coronary syndrome, Coronary artery bypass grafting, Venous graft stenting, Endovascular intervention, Drug-eluting stents

Abstract

This case report presents the clinical management of an 88-year-old male patient with acute coronary syndrome (ACS) following previous coronary artery bypass grafting (CABG). The case highlights the challenges in diagnosing and treating late venous graft lesions in the presence of significant comorbidities, including type 2 diabetes mellitus, hypertension, and dyslipidemia. The patient underwent successful two-level drug-eluting stent (DES) implantation into the venous graft to the diagonal branch. The procedure resulted in restoration of blood flow with no complications during hospitalization. We discuss the strategy, current recommendations, and outcomes related to venous graft interventions in elderly patients with high surgical risks.

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Published

2025-05-03

How to Cite

Dubaev, A. A., Askerkhanov, G. R., Kandaurov, A. E., Kazakmurzaev, M. A., Sadyki, M. N., Badyshev, I. A., & Ryzanova, V. N. (2025). Two-Level Stenting of Aortocoronary Bypass Graft in Acute Coronary Syndrome: A Case Report and Literature Review. Journal of Heart Disease and Therapy, 2(01), 8–10. Retrieved from https://j-hdt.com/index.php/jhdt/article/view/15

Issue

Vol. 2 No. 01 (2025): Journal of Heart Disease and Therapy

Section

Case Report

License

Copyright (c) 2025 Aslanbek A. Dubaev, Gamid R. Askerkhanov, Arslankhan E. Kandaurov, Medzhid A. Kazakmurzaev, Magomedshafi N. Sadyki, Ibragim A. Badyshev, Valentina N. Ryzanova

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.