Abstract
Surgical angioplasty for severe stenosis of the left main coronary artery was performed with venous patch on seven patients. Surgical indication was elective in six of the seven cases. One patient who had had aortic and mitral valve replacement (5 months previously) required emergency surgery because of severe unstable angina and recent anterior myocardial infarction. Only one patient of this series necessitated another operation 6 months later with grafts using both internal mammary arteries for a new critical stenosis corresponding to a calcific plaque not removed during previous surgery. Operative indications are discussed as well as the angioplasty technique as an alternative to aortocoronary bypass surgery for left main coronary stenosis without peripheral lesions.
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References
Alford WO, Page HL, Burrus GR et al. (1978) Further evaluation of the surgical treatment of obstructive disease of the left main coronary artery. Ann Surg 187: 658
Bedard P, Baird MG, Akyurekly Y (1979) By-pass grafting for stenosis of the left main coronary artery. Can J Surg 22: 123
Chaitman BR, Rogers WS, Davis K et al. (1980) Operative risk factors in patients with left main coronary artery disease. N Engl J Med 303: 953
Effler VB, Sones FM, Favaloro R, Groves LK (1965) Coronary endarterectomy with patch graft reconstruction. Clinical experience with 34 cases. Ann Surg 162: 590
Favaloro R, Effler DB, Groves LK, Sheldon WL, Shirey EK, Sones FM (1970) Severe sequential obstruction of the left main coronary and its division. Surgical treatment by the saphenous vein graft technique. J Thorac Cardiovasc Surg 60: 469
Gallotti R, Ornaghi D, Panisi P, Verna E, Binaghi G, Respighi E (1985) Angioplastica del tronco comune della coronaria sinistra con patch venoso. G Ital Cardiol 4: 414
Gallotti G, Semeraro F, Grossi C, Montagna P, Ornaghi D, Panisi P, Tarelli G, Respighi E (1987) Angioplastica del tronco comune della coronaria sinistra con patch venoso. Descrizione di 4 casi operati. Arch Chir Torac Cardiovasc 9: 268
Hartridge H (1952) Dynamics of the circulation. In: Evans CL, Hartridge HL (eds) Principles of human physiology. Churchill Livingstone, London
Hitchcock JF, Demedina R, Jambroes G (1983) Angioplasty of the left main coronary artery for isolated left main coronary artery disease. J Thorac Cardiovasc Surg 85: 880
Takaro T, Peduzzi P, Detre KM et al. (1982) Survival in subgroups of patients with left main coronary artery disease. Circulation 66: 14
Zeft HJ, Manley JC, Huston JH et al. (1974) Left main coronary artery stenosis: results of coronary bypass surgery. Circulation 49: 68
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© 1989 Springer-Verlag Berlin Heidelberg
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Gallotti, R. et al. (1989). Surgical Angioplasty of the Left Main Coronary Artery with Venous Patch: Antegrade Myocardial Revascularization. In: Ghosh, P.K., Unger, F. (eds) Cardiac Reconstructions. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74629-1_47
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DOI: https://doi.org/10.1007/978-3-642-74629-1_47
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-50973-8
Online ISBN: 978-3-642-74629-1
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