Abstract

A 69-year-old man with medically refractory 3-vessel coronary artery disease underwent sequential, minimally invasive coronary artery bypass grafting of the left internal mammary artery (LIMA) to the left anterior descending artery and first diagonal artery. The surgery was conducted off-pump and was uneventful. A pleural drain was placed on the left side at the end of the surgery. Postoperatively, the patient developed chest pain, and an ECG demonstrated new T-wave inversions (Figure 1, arrows) in comparison with his previous ECG (Figure 2 …

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