[A successful case of transaortic coronary patch angioplasty for left coronary ostial stenosis in a middle-aged woman].
A 46-year-old woman was admitted to our hospital because of effort angina. Electrocardiogram on exercise showed a significant ST depression in I, II, III, aVF, and V3-6 201Thallium myocardial scintigram demonstrated a low uptake lesion on effort and redistribution in anterior wall of left ventricle. Coronary angiography showed a 50% stenosis only in the left coronary ostium. Operation was carried out by transaortic patch angioplasty using autologous pericardium fixed with 0.25% glutaraldehyde. Her postoperative course was uneventful. Anginal discomfort disappeared, and favorable results was obtained. Recent reports suggest that an isolated coronary ostial stenosis is a distinct clinical entity which is different from the usual atherosclerotic ischemic heart disease. The transaortic patch angioplasty might be useful operative method for the isolated coronary ostial stenosis.
Kuki
S
S
Department of Cardiovascular Surgery, Osaka Rosai Hospital, Sakai, Japan.
Yoshida
K
K
Taketani
S
S
Matsumura
R
R
Okuda
A
A
D003251:Constriction, Pathologic / Q000601:surgery; D003327:Coronary Disease / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation*; D014182:Transplantation, Autologous