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Plastia cirúrgica de óstio coronariano esquerdo com estenose não aterosclerótica Surgical ostial angioplasty of non-atherosclerotic left coronary artery stenosis

By Fábio ARGENTA, George WINCKLER, Marcelo Kuhn MOMOLLI, Roque FALLEIRO and Luís Sérgio FRAGOMENI

Abstract

Discute-se o caso clínico de um paciente homem, 38 anos, com insuficiência cardíaca classe IV (NYHA) e angina de repouso em razão de insuficiência aórtica severa, oclusão de óstio da artéria coronária direita e lesão subtotal do óstio da artéria coronária esquerda, em razão de aortite de origem luética. O tratamento constituiu-se de prótese aórtica mecânica e plastia do óstio coronariano esquerdo com "telhado" de veia safena. A evolução clínica pós-operatória foi excelente, tendo o paciente retornado à vida ativa e sem sintomas.<br>A clinical case of a 38 year old male, with heart failure grade IV (NYHA) and angina at rest related to severe aortic regurgitation, right coronary ostial occlusion, and a sub-total occlusion of the left coronary ostium owing to syphilitic infection in the past is reported and discussed. Treatment was established implanting a mechanical aortic prosthesis and a direct left main angioplasty suturing a patch made of safenous vein. Follow up has been excellent and the patient is today having a normal life, free of symptoms

Topics: Artérias coronárias, Aorta, Revascularização miocárdica, Valva aórtica, Valva aórtica, Implante de prótese de valva, Coronary arteries, Aorta, Myocardial revascularization, Aortic valve prosthesis, Aortic valve, Heart valve prosthesis, Aortic valve stenosis, Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701
Publisher: Sociedade Brasileira de Cirurgia Cardiovascular
Year: 2000
DOI identifier: 10.1590/S0102-76382000000400009
OAI identifier: oai:doaj.org/article:214909c1df2f4f1d8d295e044ea9136d
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