Download PDF
Thorac Cardiovasc Surg 2000; 48(2): 105-107
DOI: 10.1055/s-2000-9936
Case Report
© Georg Thieme Verlag Stuttgart · New York

Concomitant Aortic Valve Replacement and Surgical Angioplasty of Left Main Coronary Ostium

R. Codecasa1 , G. Scioti1 , R. Baglini2 , S. Pratali1 , A. Milano1 , U. Bortolotti1
  • 1Division of Cardiac Surgery and
  • 2Cardiology Department of Cardiology, Angiology, and Pneumology, University of Pisa Medical School, Pisa, Italy
Further Information

Publication History

Publication Date:
31 December 2000 (online)

    Permissions and Reprints All articles of this category

The association of calcific aortic valve disease and isolated coronary ostial stenosis is rare. A 80-year-old woman was found to have severe aortic stenosis with critical narrowing of the ostium of the left main coronary artery. She was successfully managed by simultaneous aortic valve replacement and patch angioplasty of the left main coronary artery, using a patch of autologous pericardium fixed in glutaraldehyde. Angiographic control at 1 month coupled with intravascular echographic imaging showed adequate relief of the ostial stenosis and patency of the left main trunk.

Key words:

Aortic valve disease - Aortic valve replacement - Myocardial revascularization - Isolated coronary ostial stenosis - Surgical angioplasty

References

  • 1 Hutter J A, Pasaoglu I, Williams B T. The incidence and management of coronary ostial stenosis.  J Cardiovasc Surg.. 1985;  26 581-4
    PubMedSearch in Google Scholar
  • 2 Sullivan J A, Murphy D A. Surgical repair of stenotic ostial lesions of the left main coronary artery.  J Thorac Cardiovasc Surg.. 1989;  98 33-6
    PubMedSearch in Google Scholar
  • 3 Dion R, Verhelst R, Matta A, Rousseau M, Goenen M, Chalant C. Surgical angioplasty of the left main coronary artery.  J Thorac Cardiovasc Surg.. 1990;  99 241-50
    PubMedSearch in Google Scholar
  • 4 Eng J, Beton D C, Lawson R AM, Moussalli H, Nair U R, Rahman A N. Coronary ostial stenosis: surgical considerations.  Int J Cardiol.. 1991;  30 285-8
    CrossrefPubMedSearch in Google Scholar
  • 5 Gosh P K. Coronary ostial reconstruction: technical issues.  Ann Thorac Surg.. 1991;  51 673-5
    PubMedSearch in Google Scholar
  • 6 Bortolotti U, Milano A, Balbarini A. et al . Surgical angioplasty for isolated coronary ostial stenosis.  Texas Heart Ins J.. 1997;  24 366-71
    PubMedSearch in Google Scholar
  • 7 Dion R, Elias B, El Khoury G, Noirhomme P, Verhelst R, Hanet C. Surgical angioplasty of the left main coronary artery.  Eur J Cardio-thorac Surg.. 1997;  11 856-64
    PubMedSearch in Google Scholar
  • 8 Thomson R. Isolated coronary ostial stenosis in women.  J Am Coll Cardiol.. 1986;  7 997-1003
    PubMedSearch in Google Scholar
  • 9 Barner H B, Maunheim K S, Kanter K R. et al . Coronary ostial stenosis.  Eur J Cardio-thorac Surg.. 1988;  2 106-12
    PubMedSearch in Google Scholar
  • 10 Barner H B, Reese J, Standeven J. et al . Left coronary ostial stenosis: comparison with left main coronary artery stenosis.  Ann Thorac Surg.. 1989;  47 293-6
    PubMedSearch in Google Scholar
  • 11 Milano A, Guglielmi C, De Carlo M. et al . Valve-related complications in elderly patients with biological and mechanical aortic valves.  Ann. Thorac Surg.. 1998;  66 S82-7
    CrossrefPubMedSearch in Google Scholar

Received for Publication: April 12, 1999

MD U. Bortolotti

U.O. Cardiochirurgia, Ospedale Cisanello

Via Paradisa 2

56124 Pisa

Italy

Email: u.bortolotti@cardchir.med.unipi.it