Coronary Ostial Patch Angioplasty With Femoral Artery in Takayasu Arteritis
| Autor: | Tatsuki Fujiwara, Eiki Nagaoka, Yushi Okumura, Masafumi Yashima, Hirokuni Arai, Keiji Oi, Kiyotoshi Oishi, Masashi Takeshita, Tomohiro Mizuno, Tetsuya Yoshida |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Surgical strategy Myocardial ischemia business.industry Patch material Patch angioplasty medicine.medical_treatment Takayasu arteritis Femoral artery 030204 cardiovascular system & hematology 03 medical and health sciences Coronary ostium 0302 clinical medicine 030228 respiratory system Internal medicine Angioplasty medicine.artery medicine Cardiology Surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of Thoracic Surgery. 110:e427-e430 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/j.athoracsur.2020.03.098 |
| Popis: | Takayasu arteritis (TA) occasionally involves the coronary ostium leading to myocardial ischemia. Although surgical coronary ostial angioplasty is desirable for ostial stenosis, the patch materials and long-term results are controversial. We used femoral artery (FA) as a patch material for coronary ostial angioplasty in 3 TA patients. Coronary ostial enlargement with a longitudinal incision followed by rectangular FA patch augmentation was performed to extend the narrowing coronary ostium. In all patients, coronary ostial stenosis was successfully repaired. Ostial angioplasty using an FA patch would be a reasonable surgical strategy to treat coronary ostial stenosis in TA. |
| Databáze: | OpenAIRE |
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