Codecasa R, Scioti G, Baglini R, Pratali S, Milano A, Bortolotti U
Division of Cardiac Surgery, University of Pisa Medical School, Italy.
Thorac Cardiovasc Surg. 2000 Apr;48(2):105-7. doi: 10.1055/s-2000-9936.
The association of calcific aortic valve disease and isolated coronary ostial stenosis is rare. A 80-year-old woman was found to have severe aortic stenosis with critical narrowing of the ostium of the left main coronary artery. She was successfully managed by simultaneous aortic valve replacement and patch angioplasty of the left main coronary artery, using a patch of autologous pericardium fixed in glutaraldehyde. Angiographic control at 1 month coupled with intravascular echographic imaging showed adequate relief of the ostial stenosis and patency of the left main trunk.
钙化性主动脉瓣疾病与孤立性冠状动脉开口狭窄的关联较为罕见。一名80岁女性被发现患有严重主动脉瓣狭窄，同时左主冠状动脉开口严重狭窄。通过同期进行主动脉瓣置换术以及使用戊二醛固定的自体心包补片对左主冠状动脉进行补片血管成形术，她得到了成功治疗。术后1个月的血管造影检查以及血管内超声成像显示，开口狭窄得到了充分缓解，左主干通畅。
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