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Article
December 1977

Nonsyphilitic Coronary Ostial Stenosis

Author Affiliations

From the Department of Surgery, St Louis University School of Medicine.

Arch Surg. 1977;112(12):1462-1466. doi:10.1001/archsurg.1977.01370120052005
Abstract

• From October 1970 to June 1977, a total of 15 patients (12 women) were seen with atherosclerotic coronary ostial stenosis (14 left, one right). All patients had angina and two had aortic valve disease. Additional coronary arterial disease was present in nine. One patient declined surgery and died four months later after myocardial infarction. All patients had coronary bypass grafts and two had aortic valve replacement. One patient with valve replacement and one with preoperative cardiogenic shock died postoperatively. Angina recurred nine months postoperatively in one patient; the others (11) are free of angina. Postoperative catheterization from two weeks to 4.5 years in ten of 12 showed 11 of 13 vein grafts and eight of nine internal mammary artery grafts to be patent. In three patients, only a single left-sided coronary bypass was placed to the left anterior descending artery, because the circumflex branches were too small. Ideally, two left-sided bypass grafts should be placed for left ostial disease.

(Arch Surg 112:1462-1466, 1977)

References
1.
Frater RM, Jordan A:  Syphilitic coronary ostial stenosis . Ann Thorac Surg 6:463-467, 1968.Article
2.
Silver MD, Wigle ED, Trimble AS, et al:  latrogenic coronary ostial stenosis . Arch Pathol 88:73-77, 1969.
3.
Mullins CE, El-Said G, McNamara DG, et al:  Atresia of the left coronary ostium . Circulation 46:989-994, 1972.Article
4.
Pritchard CL, Mudd JG, Barner HB:  Coronary ostial stenosis . Circulation 52:46-48, 1975.Article
5.
Whiting RC, Barner HB, Leone P, et al:  Aspergilloma: An unusual cause of late failure of aortocoronary bypass graft . Chest 63:1030-1032, 1973.Article
6.
Cohen MV, Cohn PF, Herman MV, et al:  Diagnosis and prognosis of main left coronary artery obstruction . Circulation 45-46 ( (suppl 1) ):57-65, 1972.Article
7.
Enos WF, Holmes RH, Beyer J:  Arteriosclerosis of the aortic sinuses . Am J Clin Pathol 39:506-511, 1963.
8.
Stoney RJ, Ehrenfeld WK, Wylie EJ: Revascularization methods in chronic visceral ischemia caused by atherosclerosis. Ann Surg, to be published.
9.
Flemma RJ, Singh HM, Tector AJ, et al:  Comparative properties of vein and mammary artery in coronary bypass operations . Ann Thorac Surg 20:619-625, 1975.Article
10.
Loop FD, Iraarrazaual MJ, Bredee JJ, et al:  Internal mammary graft for ischemic heart disease: Effect of revascularization on clinical status and survival . Am J Cardiol 39:516-622, 1977.Article
11.
Siegel W, Loop FD:  Comparison of internal mammary artery and saphenous vein bypass grafts for myocardial revascularization: Exercise test and angiographic correlations . Circulation 54 ( (suppl 3) ):1-3, 1976.Article
12.
Takaro T, Hultgren HN, Lipton MJ, et al:  The VA cooperative randomized study of surgery for coronary arterial occlusive disease: II Subgroup with significant left main lesions . Circulation 54 ( (suppl 3) ):107-117, 1976.
13.
Alford WC, Shaker IJ, Thomas CS Jr, et al:  Aortocoronary bypass in the treatment of left main coronary artery stenosis . Ann Thorac Surg 17:247-253, 1974.Article
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