introduction aortic surgery has made much progress recently. yet the combination of aortic surgery and coronary artery bypass grafting has remained a major issue for the surgeons. patient and observation herein, we present a case of severe aortic insufficiency with aortic aneurysm concomitant with single coronary artery disease on the right coronary artery. the patient underwent bentall procedu...

OBJECTIVE To determine whether percutaneous transluminal coronary angioplasty may be safely performed in cardiology centres in the United Kingdom without immediate on site cardiac surgical cover for complications arising at angioplasty. DESIGN Retrospective review of coronary angioplasties and complications in a hospital without on site cardiac surgical cover. SETTING All angioplasties were...

BACKGROUND In severe coronary artery disease, coronary artery bypass grafting (CABG) surgery is indicated to re-establish an adequate blood supply to the ischemic myocardium. Effectiveness of CABG surgery for symptom relief and mortality decrease should therefore depend on bypass graft patency. As bypass using a left internal mammary artery (LIMA)-to-left anterior descending coronary artery (LA...

A70-year-old man with exertional angina presented for cardiac catheterization. The past medical history was significant for coronary artery bypass graft surgery in 1984 with placement of a left internal mammary artery (LIMA) graft to the left anterior descending coronary artery and a single saphenous vein graft, sequentially, to 2 obtuse marginal vessels and the posterior descending coronary ar...

an 80-year-old diabetic man with severe aortic stenosis was admitted to our hospital for cardiogenic shock complicating non-st-elevation myocardial infarction. echocardiographic evaluation showed also a severe degree of both left ventricular dysfunction and mitral regurgitation. the patient was initially stabilized with inotropes and mechanical ventilation was necessary because of concurrent pu...

Between 1981 and 1988, 107 percutaneous transluminal coronary angioplasty (PTCA) procedures, including repeat PTCA, were performed in 84 patients with previous coronary artery bypass grafting (CABG). Fifty-nine patients underwent a first angioplasty of the vein graft alone, and 25 underwent a first PTCA of the graft and one or more native vessels. Seventeen patients underwent two procedures, fo...

A73-year-old hypertensive, dyslipidemic man with known complex coronary artery disease has had operative revascularization twice in the last 10 years. He has also undergone multiple angioplasty procedures on the saphenous vein graft (SVG) to the obtuse marginal (OM) and right coronary arteries. The left internal mammary artery conduit to the left anterior descending artery remains patent. The S...

The technique of intracoronary stenting has achieved remarkable progress over the last few years. Improved stent deployment techniques and optimization of postprocedural management have dramatically improved the safety of intracoronary stent placement. At present, the incidence of early vessel closure after stenting is even lower than that after standard angioplasty and, as most operators no lo...