Leszczyński Lech, Rewicki Marek, Dabrowski Rafał, Zelazny Piotr, Sosnowski Cezary, Religa Grzegorz, Sterliński Maciej, Partyka Teresa, Purzycki Zbigniew
I Samodzielna Pracownia Hemodynamiki, Instytut Kardiologii, Warszawa, Poland.
Kardiol Pol. 2002 Dec;57(12):560-3.
Mortality in patients with a significant left main and right coronary artery ostia stenosis is high, reaching 50% during a five-year follow-up period. To date, this type of lesion has been rarely treated with percutaneous coronary interventions (PCI). We present a case of a 50-year-old man who had had coronary artery bypass surgery because of left main stenosis in the past and was currently admitted to the hospital because of unstable angina. Coronary angiography showed tight left main and right coronary ostia stenosis and total occlusion of the left anterior descending artery. Vein grafts were occluded. The PCI procedure combined with the cardiopulmonary bypass was performed. The lesions were dilated and stents were successfully implanted. The patient tolerated the procedure well. He was discharged five days after PCI and the course of a 12-month follow-up was uneventful.
左主干和右冠状动脉开口严重狭窄患者的死亡率很高，在五年随访期内达到50%。迄今为止，这种类型的病变很少采用经皮冠状动脉介入治疗（PCI）。我们报告一例50岁男性病例，该患者既往因左主干狭窄接受过冠状动脉搭桥手术，目前因不稳定型心绞痛入院。冠状动脉造影显示左主干和右冠状动脉开口严重狭窄，左前降支完全闭塞。静脉桥血管闭塞。实施了联合体外循环的PCI手术。病变部位扩张成功并成功植入支架。患者对手术耐受性良好。PCI术后五天出院，12个月的随访过程顺利。
