Document Detail


Patch angioplasty for isolated ostial stenosis of the left main coronary artery.
MedLine Citation:
PMID:  19017004     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Conventional coronary artery bypass grafting (CABG) is recognized as the treatment of choice for left main coronary artery stenosis (LMCA) with excellent results. Patch angioplasty is an alternative method in selected cases for ostial stenosis of the LMCA. However, the long-term outcome data of this surgical technique are lacking. Therefore, the aim of this study was to evaluate the long-term outcome of patients treated by patch angioplasty using saphenous vein for ostial stenosis of the LMCA. METHODS: Nineteen patients underwent vein patch angioplasty for ostial LMCA stenosis between 1995 and 2005 at our institution. On three of them simultaneous aortic valve replacement was carried out and on one patient concomitant coronary artery bypass grafting of the right coronary artery was performed. Patients were followed up clinically and by magnetic resonance imaging (MRI) at 5.11 +/- 3.34 years (range 0.6-10 years). RESULTS: The early postoperative course was uneventful in all patients. There were no in-hospital deaths. In the late course, three patients died from unrelated causes three and a half, four, and six years after surgery. Importantly, at the time of follow-up the MRI revealed no restenosis or aneurysmatic coronary formation. All patients were in excellent clinical condition at follow-up. CONCLUSIONS: Surgical patch angioplasty with saphenous vein for isolated ostial LMCA stenosis is a safe operative technique with good long-term results. MRI is able to adequately depict the operative result of left main coronary ostium reconstruction.
Authors:
Spiridon Botsios; Winfried Maatz; Udo Sprengel; Hubertus Heuer; Gerhard Walterbusch
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  23     ISSN:  1540-8191     ISO Abbreviation:  J Card Surg     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-11-21     Completed Date:  2009-04-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  743-6     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, St-Johannes Hospital Dortmund, Dortmund, Germany. botsios@arcor.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty / instrumentation,  methods*
Coronary Stenosis / diagnosis,  mortality,  surgery*
Coronary Vessels / pathology,  surgery*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Saphenous Vein / surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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