title: [Angioplasty of unprotected two coronary artery ostia using cardiopulmonary bypass as a single emergency procedure - case report].
abstract: Mortality in patients with a significant left main and right coronary artery ostia stenosis is high, reaching 50% during a five-year follow-up period. To date, this type of lesion has been rarely treated with percutaneous coronary interventions (PCI). We present a case of a 50-year-old man who had had coronary artery bypass surgery because of left main stenosis in the past and was currently admitted to the hospital because of unstable angina. Coronary angiography showed tight left main and right coronary ostia stenosis and total occlusion of the left anterior descending artery. Vein grafts were occluded. The PCI procedure combined with the cardiopulmonary bypass was performed. The lesions were dilated and stents were successfully implanted. The patient tolerated the procedure well. He was discharged five days after PCI and the course of a 12-month follow-up was uneventful.
authors.affiliation: I Samodzielna Pracownia Hemodynamiki, Instytut Kardiologii, Warszawa, Poland.
authors.forename: Lech
authors.initials: L
authors.lastname: Leszczyński
authors.forename: Marek
authors.initials: M
authors.lastname: Rewicki
authors.forename: Rafał
authors.initials: R
authors.lastname: Dabrowski
authors.forename: Piotr
authors.initials: P
authors.lastname: Zelazny
authors.forename: Cezary
authors.initials: C
authors.lastname: Sosnowski
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Religa
authors.forename: Maciej
authors.initials: M
authors.lastname: Sterliński
authors.forename: Teresa
authors.initials: T
authors.lastname: Partyka
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Purzycki
vernacular_title: Jednoczasowa angioplastyka niezabezpieczonych ujsc aortalnych obu tetnic wiencowych w krazeniu pozaustrojowym.