[Stenosis of the left coronary trunk. Apropos of fifteen cases].
Stenosis of the left main trunk was revealed by selective coronary angiography in 15 patients among the 567 who were investigated (2.6%). No case of total occlusion was observed. There was no fatality due to the procedure. As a rule other coronary vessels also show atheromatous lesions. Five patients were not operated: 3 died (60%) after a mean survival period of 14 months following angiography. Among the 10 others who underwent surgery there was no operative mortality, but 2 patients died in the postoperative period (20%). The 8 survivors have been followed for a period ranging from 8 to 61 months (mean: 36 months). All are still alive and much improved clinically. Once the diagnosis of left main trunk stenosis has been established, early surgery should be considered.
D000368:Aged; D000790:Angiocardiography; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000601:surgery; D003331:Coronary Vessels / Q000601:surgery; D004562:Electrocardiography; D005080:Exercise Test; D005260:Female; D005500:Follow-Up Studies; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D011379:Prognosis
Les sténoses du tronc coronaire gauche. A propos de quinze cas