Syphilitic Aortitis Causing Bilateral Coronary Ostial Stenosis

2011 ◽  
Vol 14 (1) ◽  
pp. 59 ◽  
Author(s):  
Soh Hosoba ◽  
Tomoaki Suzuki ◽  
Yusuke Koizumi ◽  
Tohru Asai
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Rare Complication ◽  
Artery Bypass ◽  
Coronary Vessels ◽  
Bypass Grafting ◽  
Coronary Risk Factors ◽  
Left Main ◽  
Coronary Ostial Stenosis ◽  
Syphilitic Aortitis

Coronary ostial stenosis in otherwise normal coronary vessels is a rare complication of syphilitic aortitis. A 47-year-old man with no coronary risk factors developed severe isolated ostial stenosis in the left main coronary artery and right coronary artery. He underwent coronary artery bypass grafting using the bilateral internal thoracic arteries and gastroepiploic artery and recovered uneventfully.

scholarly journals Multiple Giant Coronary Artery Aneurysms Surgically Treated with Bypass Grafting: A Challenging Rarity

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Kostas Kostopanagiotou ◽  
Aikaterini Poulou ◽  
Andrew Chatzis ◽  
Mazen Khoury
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Artery Bypass ◽  
Coronary Vessels ◽  
Illustrative Case ◽  
Bypass Grafting ◽  
Left Main ◽  
Coronary Artery Aneurysms ◽  
Giant Aneurysms ◽  
Coronary Syndrome

Coronary artery aneurysms are encountered in daily cardiology practise but multiple giant-sized coronary artery aneurysms are extremely rare. We present an illustrative case of multiple giant aneurysms located throughout the coronary system (left main stem and all left, right, and circumflex branches) in a 57-year-old male with acute coronary syndrome. The case was managed successfully with on-pump quadruple coronary artery bypass grafting. To our knowledge, few cases of multiple giant aneurysms in all coronary vessels have been reported.

Percutaneous coronary intervention for unprotected and protected left main stem disease

2010 ◽  
pp. 313-332
Author(s):  
Christine Hughes ◽  
Bruno Farah ◽  
Jean Fajadet
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Artery Bypass ◽  
Coronary Bypass ◽  
Coronary Intervention ◽  
Bypass Grafting ◽  
Left Main ◽  
Coronary Bypass Grafting ◽  
Percutaneous Coronary

Significant unprotected left main coronary artery (ULMCA) disease occurs in 5–7% of patients undergoing coronary angiography (and patients with ULMCA disease treated medically have a 3-year mortality rate of 50%. Several studies have shown a significant benefit following treatment of left main (LM) stenosis with coronary bypass grafting compared with medical treatment. Until recently coronary bypass grafting has been the gold standard therapy for LM disease. However, advances in percutaneous intervention techniques and stent technology have allowed re-evaluation of the role of percutaneous coronary intervention (PCI) for LM disease. Recent studies have focused on the safety and efficacy of stenting the left main coronary artery (LMCA) to determine if it does provide a true alternative to coronary artery bypass grafting (CABG). So should we stent the LM?

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