title: Composite Y-graft for syphilitic ostial stenosis in left main coronary artery.
abstract: Coronary ostial stenosis is one of the cardiac manifestations of tertiary syphilis and should be perceived as a disorder of the aorta. A 45-year-old man with no coronary risk factors except smoking developed severe isolated ostial stenosis in the left main coronary artery. He underwent emergency bypass surgery using the bilateral internal thoracic arteries as a composite Y-graft, and recovered uneventfully.
authors: Division of Cardiovascular Surgery, Teikyo University School of Medicine Ichihara Hospital, Ichihara City, Japan. kyky-tanaka@mvc.biglobe.ne.jp
authors: Keita
authors: K
authors: Tanaka
authors: Makoto
authors: M
authors: Takeda
authors: Kazuhiro
authors: K
authors: Nagayama
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D023921:Coronary Stenosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010401:Penicillin G Benzathine / Q000627:therapeutic use; D013589:Syphilis, Cardiovascular / Q000150:complications* / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D010401:Penicillin G Benzathine