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Eur J Cardiothorac Surg 2001;20:1233-1234
© 2001 Elsevier Science NL

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Direct ostioplasty of the left main coronary artery using the right internal thoracic artery as patch material

^a Department of Cardiac Surgery, University of Debrecen, Móricz Zs. Krt. 22, Debrecen, H-4004, Hungary
^b Department of Cardiology, University of Debrecen, Debrecen, Hungary

Received 16 March 2001; received in revised form 17 July 2001; accepted 5 September 2001.

Corresponding author. Tel./fax: +36-52-413-369

Abstract

Three female patients underwent operations for nonatherosclerotic isolated left main coronary artery stenosis. Transaortic patch angioplasty was performed via an anterior approach using the most proximal segment of the right internal thoracic artery as patch material. Six months after surgery coronary angiography revealed good results in all three cases. The internal thoracic artery can be used to enlarge the left coronary ostium safely, if heavy calcification is not present.

Key Words: Coronary ostial stenosis • Patch angioplasty • Internal thoracic artery

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