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J Thorac Cardiovasc Surg 2005;130:940-941
© 2005 The American Association for Thoracic Surgery

Brief Communication

Stenosis of the grafted portion of the coronary artery after aortic root replacement with a Freestyle prosthesis

Masanori Murakami, MD a , * , Haruhiko Okada, MD a , Masahiko Nishida, MD a , Kimikazu Hamano, MD b

a Division of Cardiovascular Surgery, Shakaihoken Tokuyama Central Hospital, Yamaguchi, Japan
b First Department of Surgery, Yamaguchi University School of Medicine, Yamaguchi, Japan

Received for publication April 8, 2005; accepted for publication April 25, 2005.

* Address for reprints: Masanori Murakami, MD, Division of Cardiovascular Surgery, Shakaihoken Tokuyama Central Hospital, Kohdachoh 1-1, Shunan, Yamaguchi 745-8522, Japan (Email: surg-1@yamaguchi-u.ac.jp).

The first 20% of the full text of this article appears below.


Figure 1
Murakami, Okada, Nishida (left to right)


We report a case of stenosis at the grafted portion of the coronary artery after aortic root replacement with a Freestyle prosthesis (Freestyle Aortic Root Bioprosthesis; Medtronic, Inc, Minneapolis, Minn). The coronary artery was reconstructed with the full root technique. There was no displacement or flexion of the coronary artery graft as a result of the surgical procedure. Aspirin was used as a postoperative anticoagulant. A coronary angiogram obtained 18 months after the surgery showed 90% stenosis at the left coronary ostium (Figure 1) and 75% stenosis at the right coronary ostium. No stenosis (0%) was observed after percutaneous coronary intervention (PCI). After PCI, the patient received adequate doses of warfarin sodium and aspirin. The . . . [Full Text of this Article]






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