Abstract
Figure 1. A 57-year-old man presented with several hours of chest discomfort accompanied by ischemic changes on his electrocardiogram. He had undergone coronary-artery bypass grafting and subsequent percutaneous coronary intervention one year earlier, with deployment of a stent in the saphenous-vein graft to the first obtuse marginal artery. Cardiac angiography showed severe three-vessel disease of the native coronary arteries, a patent graft involving the left internal thoracic artery and the left anterior descending coronary artery, a previously identified occluded vein graft anastomosed to the right coronary artery, and a newly occluded vein graft anastomosed to the first obtuse marginal artery. . . .
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