title: [Left main coronary stenosis: clinical and paraclinical aspects].
abstract: The authors report a retrospective study about 20 cases of left main coronary disease admitted during 7 years. The mean age is 60 years with a large predilection for men (65% cases). The left main coronary stenosis generally presented as instable angina in 45% cases, myocardial infarct in 40% cases and left ventricular dysfunction in 10% cases. The left main coronary disease was associated with three vessel disease in 45% cases, two vessel disease in 20% cases and one vessel disease in 15% cases. The left main stenosis is frequently distal (60% cases), severe left myocardial dysfunction (EF < 40%) is found in 25% cases. 13 patients had coronary artery by pass graft with favourables outcome in all patients. The mortality was evaluated at 20% cases, only in medical group.
authors: Service de Cardiologie Hôpital Mongi Slim, La Marsa, Tunis.
authors: Kawther
authors: K
authors: Bachraoui
authors: Aida
authors: A
authors: Mokaddem
authors: Khelifa
authors: K
authors: Selmi
authors: Badi
authors: B
authors: Darghouth
authors: Afef
authors: A
authors: Ben Halima
authors: Chokri
authors: C
authors: Ben Naya
authors: Salem
authors: S
authors: Kachboura
authors: Mohamed Rachid
authors: MR
authors: Boujnah
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000789:Angina, Unstable / Q000209:etiology; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D011379:Prognosis; D012189:Retrospective Studies; D012720:Severity of Illness Index; D012737:Sex Factors; D018487:Ventricular Dysfunction, Left / Q000209:etiology