|
KMID : 0364019950280030247
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 3 p.247 ~ p.252
|
|
|
Surgical Angioplasty of Isolated Left Coronary Ostial Stenosis
|
|
서필원
유재현/김혁/이원용/라찬영/백완기/한재진/박국양/이영탁
|
|
|
Abstract
|
|
|
The isolated cor9onary ostial stenosis is rare and a critical lesion which requires urgent surgical intervention Recently direct angioplastv is assumed as a preferable approach to conventional bypass grafting.
From Mar. 1990 to Aug. 1993, six patients underwent direct angioplasty in Sejong Heart Institute. The mean age of 6 patients was 48 years (range 37 to 63) and they consisted with 5 females and one male. All had severe angina (class ⅢorⅣ) of
short
duration (mean 5.3 months) and a low incidence of risk factors. Despite the crucial location of the lesion, most patients had well preserved left ventricular function and normal wall motion.
We performed direct angioplasty with autologous pericardium via anterior approach except one patient who underwent direct angioplasty and CABG.
One patient died 4 hours after angioplasty probably due to acute coronary dissection. The survived 5 patients maintain normal life without symptoms during 26.2 months follow up (range 5 to 47 months).
Our preliminary results suggest that angioplasty of isolated coronary ostial stenosis in highly selected patient can be carried out with good results and relatively low operative risks.
(Korean J Thorac Cardiovasc Surg 1995;28:247-52)
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|