Successful Surgical Repair of Left Main Coronary Artery Total Occlusion with Aortitis Syndrome

(Department of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan)

Hiroyasu Misumi Masamitsu Murata Yoshihiro Yoshimura
Akira Yamazaki Ichiro Ideta Hideyuki Uesugi
Yasuhiro Shimokawa Tohitsu Hirayama
We report the successful repair of left main coronary artery obstruction with aortitis syndrome. She was a 39-year-old woman and was admitted to Saiseikai Kumamoto Hospital because of angina pectoris. Her bilateral radial artery pulsation was not palpable. Total occlusion of the left main coronary artery (LMT) and bilateral subclavian artery was detected by angiography. Patch enlargement of the LMT was performed using a Distaflo (Impra Carbon PTFE) graft. Postoperative coronary angiography showed an adequate LMT diameter and sufficient blood flow.
@Jpn. J. Cardiovasc. Surg. 33: 216-219 (2004)