Angina pectoris in a case of Takayasu's disease: revascularization by coronary ostioplasty and bypass grafting.
A young man with Takayasu's disease had severe right and left coronary ostial stenoses. Severe angina was relieved by operation at which the right coronary ostium was enlarged by a pericardial patch extending across the stenosis from aorta to coronary artery; the aortic end of a vein graft to the left coronary artery was attached to this patch. This technique may reduce the risk of recurrence of ostial stenosis or of stenosis at graft origins.
D000328:Adult; D001015:Aortic Arch Syndromes / Q000601:surgery*; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation; D013625:Takayasu Arteritis / Q000000981:diagnostic imaging / Q000601:surgery*