Long-term Results of Direct Surgical Approach to Left Main Coronary Artery.

DOI
  • MORO Hisanaga
    Second Depertment of Surgery, Niigata University School of Medicine
  • OGUMA Fumiaki
    Second Depertment of Surgery, Niigata University School of Medicine
  • NAMURA Osamu
    Second Depertment of Surgery, Niigata University School of Medicine
  • UENO Mitsuo
    Second Depertment of Surgery, Niigata University School of Medicine
  • SAITO Akira
    Second Depertment of Surgery, Niigata University School of Medicine
  • HAYASHI Junichi
    Second Depertment of Surgery, Niigata University School of Medicine
  • MIYAMURA Haruo
    Second Depertment of Surgery, Niigata University School of Medicine
  • EGUCHI Shoji
    Second Depertment of Surgery, Niigata University School of Medicine

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Other Title
  • 冠状動脈入口部狭窄を含めたＬＭＴ病変に対する直達手術例の遠隔成績

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Abstract

Five patients with isolated stenosis of the left main coronary artery or stenotic ostial lesions underwent direct coronary artery surgery. These surgical approaches included vein patch angioplasty in 2 cases, punch out endarterectomy in 1 case, and resection of the thickened aortic wall and transaortic endarterectomy in 2 cases. Early results were satisfactory, except for one case who died due to severe LOS and MOF. In the late postoperative period, one case of vein patch angioplasty died due to cerebral bleeding, and in the other case, stenosis existed in position of distal patch anastomosis. Since direct coronary artery surgery was successful in both early and late postoperative fidings, it is believed to be useful and safe technique if the candidates are selected properly.

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