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Refractory Coronary Artery Spasm after Minimally Invasive Direct Coronary Artery Bypass Grafting

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Fig. 1. A preoperative coronary angiography shows critical in-stent  restenosis of the proximal left anterior descending artery (arrow).
Fig. 2. An immediate postoperative coronary angiography shows  severe diffuse spasm of the left native anterior descending artery  (arrows) resulting in near total occlusion of the left anterior  de-scending artery lumen.

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