Presentation of Case A 66-year-old man was admitted to the hospital because of hemoptysis. There was a long history of ischemic heart disease, with four episodes of myocardial infarction between six and 19 years earlier. Thirty-four months before admission a triple coronary-artery-bypass graft was performed elsewhere, with an aneurysmectomy of the inferior wall of the left ventricle. Exertional angina pectoris continued but was diminished in frequency and severity. Two years before admission he came to this hospital because of reflex sympathetic dystrophy of the left arm; an injection into the left stellate ganglion resulted in improvement. Two months later a.