IntroductioN:
Patients undergoing cabg have been reported to develop various complications preoperatively as well as postoperatively. In the long run patients may develop bleeding during or after surgery, blood clots, pneumonia, breathing problems, pancreatitis, kidney failure, heart attack, stroke, lung problems, infection, abnormal heart rhythms, graft failure and death. Coronary ostial stenosis is often recognized through angiography and not clinically. The key factor for determining the treatment is the SYNTAX score as well as the degree of localization of the lesion. Other factors include ACS, cardiogenic shock and the number of vessels involved. Here, patient who developed ostial stenosis of LAD after 13 years of undergoing cabg is described.