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  • Title: [A successful case of transaortic coronary patch angioplasty for left coronary ostial stenosis in a middle-aged woman].
    Author: Kuki S, Yoshida K, Taketani S, Matsumura R, Okuda A.
    Journal: Nihon Kyobu Geka Gakkai Zasshi; 1994 Dec; 42(12):2297-300. PubMed ID: 7861073.
    Abstract:
    A 46-year-old woman was admitted to our hospital because of effort angina. Electrocardiogram on exercise showed a significant ST depression in I, II, III, aVF, and V3-6 201Thallium myocardial scintigram demonstrated a low uptake lesion on effort and redistribution in anterior wall of left ventricle. Coronary angiography showed a 50% stenosis only in the left coronary ostium. Operation was carried out by transaortic patch angioplasty using autologous pericardium fixed with 0.25% glutaraldehyde. Her postoperative course was uneventful. Anginal discomfort disappeared, and favorable results was obtained. Recent reports suggest that an isolated coronary ostial stenosis is a distinct clinical entity which is different from the usual atherosclerotic ischemic heart disease. The transaortic patch angioplasty might be useful operative method for the isolated coronary ostial stenosis.
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