[Angioplasty of internal mammary artery and saphenous vein bypasses and native coronary vessels in a patient with rapidly progressing disease].

Although coronary artery bypass is an effective treatment for patients with coronary artery disease, early graft failure is sometimes observed. We report here on a patient who had triple-vessel coronary bypass surgery, and 3 subsequent coronary angioplasty procedures of grafts and native vessels in the 13 following months, because of recurrence of angina. Each procedure was followed by disappearance of signs and symptoms of myocardial ischemia. This case illustrates the complementary approach of coronary artery bypass surgery and percutaneous angioplasty to myocardial revascularization in patients with rapidly progressive coronary disease.