Coronary Artery Bypass in the Context of Polyarteritis Nodosa

A 46-year-old man with polyarteritis nodosa and multiple myocardial infarctions treated with multiple percutaneous coronary interventions presented again with atypical angina. Coronary angiography revealed triple-vessel coronary artery disease. This patient underwent four-vessel coronary artery bypass graft and recovered uneventfully. A review of the literature and discussion of the surgical management of this patient is presented. (Ann Thorac Surg 2010; 89: 623-5) (C) 2010 by The Society of Thoracic Surgeons