Successful percutaneous stenting of a right gastroepiploic coronary bypassgraft using monorail delivery system: A case report

The right gastroepiploic artery (RGEA) is being successfully used as an art erial conduit in a selected group of patients undergoing coronary artery by pass graft surgery. However, myocardial ischemia may result due to spasm, o cclusion, and stenosis of this graft, The anastamosis site at distal right coronary artery (RCA) or posterior descending artery (PDA) is the most comm on location for stenosis of an in situ gastroepiploic coronary bypass graft . Balloon angioplasty of such stenoses has been reported with optimal short -term results. Stent deployment would decrease the restenosis rate, so that repeat procedures could be minimized for these technically challenging les ions. We describe a case of successful deployment of a stent with monorail delivery system at the anastamotic site stenosis of an in situ gastroepiplo ic right coronary artery bypass graft. This percutaneous coronary intervent ion could prevent redo coronary artery bypass graft surgery. (C) 2000 Wiley -Liss, Inc.