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A 26-year-old woman was readmitted to the hospital 81/2 weeks after a triple coronary-artery bypass procedure because of unstable angina.
First Admission
The patient had been well until five months before admission, when she began to have substernal "tightness" during brisk walks, with relief after several minutes of rest. Two months before admission she had two bouts of pain while driving a car. An electrocardiographic stress test showed inferior and lateral ischemia; atenolol and nitroglycerin were prescribed. One day before admission a coronary angiographic examination, performed at another hospital, revealed severe ostial narrowing of the left main coronary artery, with normal
Second Admission (53 Days Later)
Differential Diagnosis
Clinical Diagnoses
Dr. Sidney Levitsky's Diagnoses
Pathological Discussion
Anatomical Diagnosis
Addendum
References
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