Surgical Ostioplasty of the Left Main Coronary Artery: An Alternative to Coronary Artery Bypass Grafting in the Treatment of Left Main Stem Isolated Ostial Stenosis—A Case Series

This study aims to demonstrate the use of surgical ostioplasty of the left main coronary artery as an alternative technique to the conventional use of coronary artery bypass grafting for the treatment of left main stem-isolated ostial stenosis. From 2002 to 2021, five patients—three women (60%) and...

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Bibliographic Details
Published in:	Surgical Techniques Development Vol. 11; no. 2; pp. 62 - 70
Main Authors:	Perazzo, Alvaro, de Oliveira Salerno, Pedro Rafael Vieira, Ferreira Paulino, Mariana, de Ataide Caliari, Vitoria, Ribeiro, Isabella Martins, Lorusso, Roberto, de Carvalho Lima, Ricardo, Salerno, Pedro Rafael
Format:	Journal Article
Language:	English
Published:	01-09-2022
Online Access:	Get full text
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Summary:	This study aims to demonstrate the use of surgical ostioplasty of the left main coronary artery as an alternative technique to the conventional use of coronary artery bypass grafting for the treatment of left main stem-isolated ostial stenosis. From 2002 to 2021, five patients—three women (60%) and two men (40%)—presented with a history of angina pectoris and were diagnosed with isolated stenosis of the coronary ostia associated with normal distal coronary arteries. Pre-operative cardiac catheterization and echocardiography were performed to aid in the diagnosis. The patients were submitted to surgical ostioplasty with a posterior approach using a saphenous patch. There were no hospital deaths or myocardial infarctions during the post-operative period. The mean cardiopulmonary bypass time was 82 min (range, 70–95 min), and the mean aortic-clamp time was 62 min (range, 55–75 min). The average time of hospitalization was 6.2 days (range, 4–18 days). Patients with isolated stenosis of the coronary ostia associated with normal distal coronary arteries may be submitted to left main coronary artery ostioplasty as an alternative to coronary artery bypass grafting, the traditional surgical technique for this pathology.
ISSN:	2038-9582 2038-9582
DOI:	10.3390/std11020006