Repair of left main coronary ostial stenosis using autologous aortic tissue.

Bilal MS; Gurer O; Tanrikulu N; Kirbas A

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Repair of left main coronary ostial stenosis using autologous aortic tissue.

机译：使用自体主动脉组织修复左主干冠状动脉狭窄。

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BACKGROUND: Patch angioplasty is one of the several surgical options for patients with left main coronary ostial stenosis. It restores native antegrade blood flow in the left main coronary artery (LMCA) and does not leave the patient with graft-dependent retrograde perfusion. Various direct techniques have been described for left coronary ostioplasty. Herein, we described the use of autologous aortic tissue in the surgical treatment of left main coronary ostioplasty, and reported the short- and long-term outcomes of the patients. METHODS: Between January 2003 and December 2010, 11 patients (nine males and two females) underwent surgical patch angioplasty for LMCA ostial stenosis using autologous aortic tissue as the patch material. RESULTS: All patients survived the operation, and there were no significant postoperative complications. The follow-up period was 44.09 +/- 30.26 months (range, 1-94 months), and no deaths or restenoses were observed during follow-up. CONCLUSIONS: The use of autologous aortic tissue as an onlay patch for reconstruction of left main coronary ostial stenosis is safe and free of major complications. This tissue is a reasonable material for treating selected types of LCMA patients.

机译：背景：斑块血管成形术是左主干冠状动脉狭窄患者的几种手术选择之一。它可以恢复左主冠状动脉（LMCA）的自然顺行血流，并且不会使患者遭受依赖于移植物的逆行灌注。已经描述了多种直接技术用于左冠状动脉成形术。在这里，我们描述了自体主动脉组织在左主干冠状动脉成形术的外科手术治疗中的使用，并报告了患者的短期和长期结果。方法：2003年1月至2010年12月，采用自体主动脉组织作为修补材料，对11例患者（男9例，女2例）进行了LMCA口狭窄的手术修补血管成形术。结果：所有患者均幸免于难，术后无明显并发症。随访时间为44.09 +/- 30.26个月（范围1-94个月），随访期间未观察到死亡或再狭窄。结论：使用自体主动脉组织作为覆盖片重建左主冠状动脉狭窄是安全的，并且没有重大并发症。该组织是用于治疗某些类型的LCMA患者的合理材料。

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《Journal of cardiac surgery.》 |2011年第6期|共5页
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Bilal MS; Gurer O; Tanrikulu N; Kirbas A;
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中图分类心脏血管和淋巴系外科学;
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1. Repair of left main coronary ostial stenosis using autologous aortic tissue. [J] . Bilal MS, Gurer O, Tanrikulu N, Journal of cardiac surgery. . 2011,第6期

机译：使用自体主动脉组织修复左主干冠状动脉狭窄。
2. Left main coronary artery ostial repair with autologous ring-shaped aortic patch for iatrogenic aortic dissection. [J] . Cristina Barbero, Elio Di Rosa, Roger Devotini, Journal of cardiac surgery. . 2014,第6期

机译：自体环形主动脉膜片修复左主干冠状动脉，用于医源性主动脉夹层。
3. Left main coronary artery ostial repair with autologous ring-shaped aortic patch for iatrogenic aortic dissection. [J] . Cristina Barbero, Elio Di Rosa, Roger Devotini, Journal of cardiac surgery. . 2014,第6期

机译：左主要冠状动脉骨质修复与自体环形主动脉贴片进行来自原子病学的主动脉夹层。
4. Acute Coronary Syndromes (ACS) With Critical Left Main Coronary Artery stenosis (LMD) In Senile Patients [C] . Dajbek J., Jakubowski D. International Congress on Coronary Artery Disease . 2011

机译：急性冠状动脉综合征（ACS）具有临危左主要冠状动脉狭窄（LMD）在老年患者中
5. Systolic Coronary Flow Reversal and Abnormal Diastolic Flow Patterns in Patients With Aortic Stenosis : Assessment With an Intracoronary Doppler Catheter [D] . Yoshikawa, Junichi 1994

机译：主动脉瓣狭窄患者的收缩期冠状动脉血流逆转和舒张期血流异常：用冠状动脉内多普勒导管评估
6. Severe Aortic Regurgitation and Left Main Coronary Artery Ostial Stenosis in a 21-Year-Old Woman: Whats Going On? [O] . Julian Gelves-Meza, Sergio A. Higuera, Jorge Bustos, 2020

机译：一个21岁女性的严重主动脉反流和左主要冠状动脉骨质狭窄：发生了什么事？
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Repair of left main coronary ostial stenosis using autologous aortic tissue.

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