Case report
Surgical angioplasty of the left main coronary artery in
non-atherosclerotic lesions
R Prêtre, M I Turina
Cardiovascular
Surgery, University Hospital Zürich, 100 Rämistrasse, 8091 Zürich,
Switzerland
Correspondence to: Dr Prêtre email: rene.pretre{at}chi.usz.ch
Accepted 22 July 1999
Surgical angioplasty of the left main coronary
artery confers several advantages over conventional bypass surgery:
unrestricted forward flow is provided to the entire coronary bed and
graft material is spared. The literature contains many reports of
surgical angioplasty of atherosclerotic stenoses. The technique is
described in five patients with non-atherosclerotic disease of the left main coronary artery: three children (a 7 year old girl who had undergone an arterial switch operation shortly after birth; a 9 year
old boy with congenital supravalvar aortic stenosis; and a 10 year old
girl with Kawasaki's disease) and two adults (a 51 year old woman with
post-radiation stenosis; a 53 year old man with acute dissection). All
patients had an uneventful recovery and are free from symptoms with a
widely open left main trunk. Although technical difficulties are
increased in these patients, excellent results can be achieved with
this approach.
Keywords: surgical angioplasty; paediatric cardiology; non-atherosclerotic lesions; congenital heart defects
© 2000 by Heart
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