Abstract:
:A 37 year-old female who had suffered from arteritis for 20 years underwent a Bentall operation. Since severe stenosis was observed in her left main coronary artery (LMCA) the following year, a minimally invasive direct coronary artery bypass (MIDCAB) operation was performed. Unfortunately, she again complained of angina about 6 months after the second surgery and coronary angiography (CAG) revealed that her left internal thoracic artery graft was totally occluded. Although a 4.0 x 15 mm S670 stent was placed in her LMCA, the LMCA re-stented every 3 months and she underwent reintervention 8 times. We placed 2 sirolimus-eluting stents for treating the LMCA using the culottes stenting technique. CAG 6 months after the index procedure showed no stenosis at her LMCA. Sirolimus-eluting stents were effective for treating stenosis resulting from arteritis as well as that caused by atherosclerosis.
journal_name
Int Heart Jjournal_title
International heart journalauthors
Sakai H,Oyama N,Kishimoto N,Takahashi M,Urasawa K,Tsutsui Hdoi
10.1536/ihj.47.795subject
Has Abstractpub_date
2006-09-01 00:00:00pages
795-801issue
5eissn
1349-2365issn
1349-3299pii
JST.JSTAGE/ihj/47.795journal_volume
47pub_type
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