IntroductioN:
Patients undergoing cabg have been reported to develop various
complications preoperatively as well as postoperatively. In the long run
patients may develop bleeding during or after surgery, blood clots,
pneumonia, breathing problems, pancreatitis, kidney failure, heart
attack, stroke, lung problems, infection, abnormal heart rhythms, graft
failure and death. Coronary ostial stenosis is often recognized through
angiography and not clinically. The key factor for determining the
treatment is the SYNTAX score as well as the degree of localization of
the lesion. Other factors include ACS, cardiogenic shock and the number
of vessels involved. Here, patient who developed ostial stenosis of LAD
after 13 years of undergoing cabg is described.