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Ann Thorac Surg 1991;51:673-675
© 1991 The Society of Thoracic Surgeons

Articles

Coronary ostial reconstruction: Technical issues

Probal K. Ghosh, MCh, FRCSE*

Herzchirurgie, Landeskrankenanstalten, Salzburg, Austria

Accepted for publication December 21, 1990.

* Address reprint requests to Dr Ghosh, Department of Cardiovascular Surgery, Sanjay Gandhi Postgraduate, Institute of Medical Sciences, PO Box 375, Raebareli Rd, Lucknow 226 001 India.

Coronary ostial reconstruction may be the preferred alternative to reestablish antegrade myocardial revascularization in patients with isolated ostial stenosis. The technical steps of reconstruction are described. The ultrasonic aspirator is a helpful implement in the dissection of the left main and the proximal right coronary arteries. Satisfactory results of coronary ostial reconstruction in the current era seem to fulfill its promise.




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