Panza A, Masiello P, Iesu S, Triumbari F, Gigantino A, Di Leo L, Di Benedetto G
Division of Cardiac Surgery, Hospital S. Leonardo, Salerno, Italy.
Thorac Cardiovasc Surg. 1995 Feb;43(1):40-3. doi: 10.1055/s-2007-1013766.
Isolated coronary ostial stenosis is an unusual condition, most often atherosclerotic in origin. Only few cases have been reported as idiopathic. The clinical profile of the latter patients suggests that this group may represent a distinct clinical entity, with peculiar diagnostic and therapeutic features. We present our experience concerning six patients with isolated idiopathic coronary ostial stenosis, who successfully underwent transaortic left main ostioplasty with autologous pericardial patch fixed in glutaraldehyde. A review of previous reports in regard to the surgical management of coronary ostial disease is presented.
孤立性冠状动脉开口狭窄是一种罕见病症，其病因大多为动脉粥样硬化。仅有少数病例被报道为特发性。后一组患者的临床特征表明，该群体可能代表一种独特的临床实体，具有特殊的诊断和治疗特点。我们介绍了6例孤立性特发性冠状动脉开口狭窄患者的治疗经验，这些患者成功接受了经主动脉左主干开口成形术，并使用戊二醛固定的自体心包补片。本文还对先前有关冠状动脉开口疾病外科治疗的报道进行了综述。
