Extensive patch angioplasty of the left main ostial stenosis using a rhombic-shaped pulmonary autograft.
A rhombic shaped pulmonary autograft patch was applied to enlarge an ostial stenosis of the left main coronary artery (LMCA) in a 25-year-old woman diagnosed with vasculitis syndrome. The patch increased the width of the ostial stenosis and made a funnel-shaped connection. At eighteen months of follow-up, a coronary angiogram by computed tomography showed no restenosis at the LMCA. The rhombic-shaped pulmonary autograft patch might be an ideal shape and material for angioplasty of the ostial stenosis of the LMCA.
Miura
Takashi
T
Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan.
Yamazaki
Kenji
K
Kihara
Shinichiro
S
Miyagishima
Masayuki
M
Kobayashi
Kensuke
K
Sugimoto
Koichi
K
Kurosawa
Hiromi
H
D000328:Adult; D000787:Angina Pectoris / Q000209:etiology / Q000601:surgery; D017130:Angioplasty; D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D010492:Pericardiectomy; D011651:Pulmonary Artery / Q000637:transplantation*; D013249:Sternum / Q000601:surgery; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014657:Vasculitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*