Two-Level Stenting of Aortocoronary Bypass Graft in Acute Coronary Syndrome: A Case Report and Literature Review

This case report presents the clinical management of an 88-year-old male patient with acute coronary syndrome (ACS) following previous coronary artery bypass grafting (CABG). The case highlights the challenges in diagnosing and treating late venous graft lesions in the presence of significant comorbidities, including type 2 diabetes mellitus, hypertension, and dyslipidemia. The patient underwent successful two-level drug-eluting stent (DES) implantation into the venous graft to the diagonal branch. The procedure resulted in restoration of blood flow with no complications during hospitalization. We discuss the strategy, current recommendations, and outcomes related to venous graft interventions in elderly patients with high surgical risks.