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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 332:380-386 February 9, 1995 Number 6
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Case 4-1995— A 26-year-old woman with recurrent angina after a triple coronary-artery bypass graft
S. Levitsky, and V. Nickeleit

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Presentation of Case

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 . . . [Full Text of this Article]

Second Admission (53 Days Later)

Differential Diagnosis

Clinical Diagnoses

Dr. Sidney Levitsky's Diagnoses

Pathological Discussion

Anatomical Diagnosis

Addendum

References




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