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Eur J Cardiothorac Surg 2003;23:585-588
© 2003 Elsevier Science NL

Transesophageal echocardiography evaluation and follow-up of left main coronary artery patch angioplasty

^a Department of Cardiothoracic Surgery, Rabin Medical Center^,1, Beilinson Campus, Petach Tikva 49100, Israel
^b Echocardiography Unit, Cardiology Department, Rabin Medical Center^,1, Beilinson Campus, Petach Tikva 49100, Israel

Received 13 July 2002; received in revised form 9 November 2002; accepted 27 November 2002.

^* Corresponding author. Tel.: +972-3-937-6701; fax: +972-3-924-0762
e-mail: bvidne{at}clalit.org.il

Objective: Isolated ostial stenosis of the left main coronary artery is a rare but serious condition. The treatment is surgical with two options: coronary artery bypass grafting or surgical angioplasty of the left main coronary artery. Assessing surgical results as well as follow-up were traditionally done by angiography. Methods: We describe the use of transesophageal echocardiography (TEE) for evaluating and follow the surgical left main coronary artery (LMCA) angioplasty results in eight patients with isolated ostial left main stenosis. Results: All patients were alive and free of ischemic events 8 months to 7 years post-surgery. TEE demonstrated a widely opened left main coronary artery with a good flow. Conclusions: Surgical angioplasty is an alternative option for treating ostial LMCA stenosis. TEE is an additional excellent non-invasive technique for assessing left main anatomy pre- and postoperatively, as well as being on of the quality control tools for evaluating new surgical techniques.

Key Words: Left main coronary artery • Patch angioplasty

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