TCTAP C-053 Primary Angioplasty of Left Main

Surgical patch angioplasty of the left main coronary artery.

Isolated ostial stenosis of the left main coronary artery (LMCA) is rare, occurring in <1% of the patients undergoing coronary angiography. Surgical patch angioplasty (SPA) offers an alternative to conventional coronary artery bypass grafting (CABG) in such cases and is advantageous in restoring more physiological myocardial perfusion, maintaining ostial patency and preserving conduit material....

Effect of primary angioplasty on total or subtotal left main occlusion: analysis of incidence, clinical features, outcomes, and prognostic determinants.

BACKGROUND Although acute left main coronary artery (LMCA) occlusion is a rare clinical entity, it carries a very high mortality rate. The purposes of this study were to evaluate the effect of primary angioplasty for a severely obstructed or totally occluded LMCA, and to determine the incidence, clinical features, outcome, and prognostic determinants in this clinical setting. MATERIALS AND ME...

Outcome in patients treated with primary angioplasty for acute myocardial infarction due to left main coronary artery occlusion.

A piece of the aorta as patch material for angioplasty of the left main coronary artery.

Harling et al. [1] had a motivating article about surgical patch angioplasty of the left main coronary artery (LMCA). They gave a comprehensive and up-dated review of the issue including the different surgical methods and the variety of patch materials used so far: pericardium, saphenous vein, internal thoracic artery and pulmonary artery. However, they also stated that the optimal patch graft ...

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-...