2009
DOI: 10.1253/circj.cj-08-0136
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Percutaneous Transluminal Coronary Angioplasty for Postoperative Left Coronary Artery Stenosis Following Surgical Reconstruction of Congenital Atresia of the Left Main Coronary Artery

Abstract: ongenital atresia of the left main coronary ostium (LMCA) is a rare condition in which there is no left coronary ostium and the proximal main trunk ends blindly. [1][2][3] Among the different surgical approaches, including various forms of coronary artery bypass (eg, using the saphenous vein or internal mammary artery), reconstruction is the current technique of choice. However, postoperative coronary artery stenosis is a major complication. Although percutaneous transluminal coronary angioplasty (PTCA) is an … Show more

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Cited by 7 publications
(4 citation statements)
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References 9 publications
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“…Various surgical interventions have been described, with coronary artery bypass grafting using the internal mammary artery as the treatment of choice. Alternatively, coronary bypass with saphenous vein grafts anastomosed to the LAD/LCx or direct surgical reimplantation or reconstruction of the left main coronary artery using azygos vein have also been described . The hypoplastic left coronary system appears to grow in diameter once sufficient flow is established and collateral arteries tend to disappear .…”
Section: Discussionmentioning
confidence: 99%
“…Various surgical interventions have been described, with coronary artery bypass grafting using the internal mammary artery as the treatment of choice. Alternatively, coronary bypass with saphenous vein grafts anastomosed to the LAD/LCx or direct surgical reimplantation or reconstruction of the left main coronary artery using azygos vein have also been described . The hypoplastic left coronary system appears to grow in diameter once sufficient flow is established and collateral arteries tend to disappear .…”
Section: Discussionmentioning
confidence: 99%
“…Alternative to bypass grafting, direct surgical reimplantation or reconstruction of the left main coronary artery using azygos vein have been described to provide the shortest and most efficient way for blood to the myocardium. [6,12,13]. The advantages they offer relative to bypass grafting are prevention of the occlusion of main trunk, provision of the antegrade flow and avoidance of competitive flow.…”
Section: Discussionmentioning
confidence: 99%
“…Although early development of coronary artery stenosis 8 months after reconstruction of the left main trunk with an azygos vein patch has been reported in a patient with LMCA [5], occlusion of the coronary artery CABG to LMCA was not reported in the long-term follow-up. One possible reason was anastomotic technical difficulties with the heels of the anastomoses because of likely small size of coronary arteries in a 6 year old child.…”
Section: Discussionmentioning
confidence: 99%