Aortic complication of coronary angiography

Seventy-four-year-old woman with heart failure, arterial hypertension, chronic kidney disease after coronary artery bypass surgery in 2019 (left internal mammary artery [LIMA] -left anterior descending [LAD], saphenous vein graft [SVG] -first obtuse marginal [OM1], saphenous vein graft -second obtuse marginal [OM2], saphenous vein graftright coronary artery [RCA]) was admitted to the hospital with a non-ST-elevation myocardial infarction.The left ventricle ejection fraction was 50%, non-significant valvular disease was noticed, no evidence of pericardial fluid, ascending aorta was 46 mm.The coronarography had showed a significant leasion in LAD, circumflex, no significant leasion in RCA.Bypassography revealed patent SVG to OM1 and OM2 and occluded SVG to RCA and LIMA-LAD graft (the coronary angiography was proceeded using Right Judkins and Right Amplatz catheter to RCA and SVG and Left Judkins catheter to LCA).