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The Journal of Thoracic and Cardiovascular Surgery, Vol 85, 880-884, Copyright © 1983 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
JF Hitchcock, EO Robles de Medina and G Jambroes
Operative technique and results of angioplasty of the left main coronary
artery (LMCA) for isolated LMCA disease are reported. Nine consecutive
patients, six men and three women, were operated upon. Their ages varied
from 46 to 69 years, mean 51 years. All had 50% to 90% stenosis of the LMCA
and Class III angina. Cardiopulmonary bypass and a cold cardioplegic
solution were used for all operations. There were no operative deaths or
infarctions. Follow-up ranged from 0.5 to 4 years, mean 1.9 years. Except
for the first patient, who has new stenosis of the proximal anterior
descending artery, all patients are free of angina. Repeat angiography in
five patients showed a widely patent LMCA with excellent runoff. Our
preliminary results suggest that angioplasty of the LMCA can be carried out
with low operative risks. The technique appears to be a promising
alternative to coronary artery bypass grafting in isolated LMCA disease.
ARTICLES
Angioplasty of the left main coronary artery for isolated left main coronary artery disease
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