Coronary artery bypass surgery is currently performed for selected cases of chronic disabling angina and preinfarction angina. The following is a report of the case of a patient with renal transplant in whom aortocoronary bypass vein graft was succesfully performed for preinfarction angina of Prinzmetal type.
A 43-year-old man with end-stage polycystic kidney disease maintained on chronic hemodialysis was admitted to Albert Einstein Medical Center for renal transplant on Sept 27, 1971. He had had bilateral nephrectomy and splenectomy two months previously. His medical history was unremarkable except for his renal status. His mother died at the age of 51 years of severe coronary artery disease and his father died suddenly at the age of 40 years.Physical examination on admission disclosed a chronically ill anemic man whose blood pressure was 170/100 mm Hg and whose pulse was 96 beats per minute and regular. There was no neck