We report a case of a hard lesion in the body of an aortocoronary
saphenous vein graft: which developed 3 years after bypass surgery and
was not amenable to dilation during percutaneous coronary angioplasty,
despite multiple balloon inflations at pressures reaching 13 atm. Hard
lesions in aortocoronary saphenous vein grafts are rare but may lead to
balloon angioplasty failure necessitating alternative angioplasty
options