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Thorac Cardiovasc Surg 2000; 48(2): 105-107
DOI: 10.1055/s-2000-9936
Case Report
© Georg Thieme Verlag Stuttgart · New York

Concomitant Aortic Valve Replacement and Surgical Angioplasty of Left Main Coronary Ostium

R. Codecasa1 , G. Scioti1 , R. Baglini2 , S. Pratali1 , A. Milano1 , U. Bortolotti1
  • 1Division of Cardiac Surgery and
  • 2Cardiology Department of Cardiology, Angiology, and Pneumology, University of Pisa Medical School, Pisa, Italy
Further Information

Publication History

Publication Date:
31 December 2000 (online)

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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.

Key words:

Aortic valve disease - Aortic valve replacement - Myocardial revascularization - Isolated coronary ostial stenosis - Surgical angioplasty

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Received for Publication: April 12, 1999

MD U. Bortolotti

U.O. Cardiochirurgia, Ospedale Cisanello

Via Paradisa 2

56124 Pisa

Italy

Email: u.bortolotti@cardchir.med.unipi.it