[Left main coronary stenosis: clinical and paraclinical aspects].
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.
Bachraoui
Kawther
K
Service de Cardiologie Hôpital Mongi Slim, La Marsa, Tunis.
Mokaddem
Aida
A
Selmi
Khelifa
K
Darghouth
Badi
B
Ben Halima
Afef
A
Ben Naya
Chokri
C
Kachboura
Salem
S
Boujnah
Mohamed Rachid
MR
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