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Procedural full metal jacket (FMJ) results in an increasing number of high-risk ‘stent-loaded’ patients who are referred to cardiac surgeon and complete revascularization cannot be achieved with the conventional technique [1,2]. The following report describes the technique used to allow enblock long-segment stent removal by coronary endarterectomy (CE) and left anterior descending (LAD) repair with left internal thoracic artery (LITA) graft.

Coronary endarterectomy to facilitate bypass surgery for patients with extensive stenting of the left anterior descending artery