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Long-Term Outcome After Surgical Left Main Coronary Angioplasty

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Presentation on theme: "Long-Term Outcome After Surgical Left Main Coronary Angioplasty"— Presentation transcript:

1 Long-Term Outcome After Surgical Left Main Coronary Angioplasty
Cornelis J. Botman, MD, Wilbert Arnoudse, MD, Olaf Penn, MD, PhD, Nico Pijls, MD, PhD  The Annals of Thoracic Surgery  Volume 81, Issue 3, Pages (March 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Anterior approach to left main coronary artery (LMCA) surgical view. The main pulmonary artery (MPA) is retracted away from the aorta (Ao). A generous exposure of the left main coronary artery and of its distal bifurcation between the circumflex artery (CX) and left anterior descending artery (LAD) is obtained. The transverse aortotomy should stay away from the commissure between the left coronary cusp (LCC) and the right coronary cusp (RCC). The onlay patch is enlarging not only the left main coronary artery but also a part of the aortotomy so as to obtain a funnel shape. (LPA = left pulmonary artery; RPA = right pulmonary artery.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 An insignificant lesion of the distal left main coronary artery is shown both with angiography (A) and intravascular ultrasound (B). Although this lesion was anatomically not significant, it proved to be significant with fractional flow reserve measurement. This patient underwent reoperation. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 A significant lesion is shown in the mid part of the left anterior descending coronary artery artery with angiography (A) and intravascular ultrasound (B). It also proved to be significant with fractional flow reserve measurement. This patient underwent a percutaneous coronary intervention of this lesion. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

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