title: Isolated bilateral ostial coronary stenosis with proximal right coronary artery occlusion.
abstract: The incidence of coronary ostial stenosis in patients undergoing coronary arteriography has been found to range between 0.07 and 0.25%. A slightly higher incidence has been observed in patients with angiographically confirmed coronary artery disease: between 0.13 and 2.7%. Bilateral ostial stenosis is even less common. Although cardiovascular syphilis is no longer a prominent condition, it must be considered in the differential diagnosis since it carries a very high risk (50%) of cardiovascular complications if left untreated. Ostial coronary stenosis occurs in 26% of patients with syphilitic aortitis. This paper reports on a 41-year-old Wasserman (WR)-positive woman with progressive angina caused by bilateral ostial coronary stenosis.
authors.affiliation: Division of Cardiology, Helen Joseph Hospital and University of the Witwatersrand, Johannesburg, South Africa.
authors.forename: Vladimir
authors.initials: V
authors.lastname: Grigorov
authors.forename: Leonid
authors.initials: L
authors.lastname: Goldberg
authors.forename: Joris
authors.initials: J
authors.lastname: Mekel