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Ann Thorac Surg 2006;81:1255
© 2006 The Society of Thoracic Surgeons

Original article: Cardiovascular

Invited commentary

Hendrick B. Barner, MD

Division of Cardiothoric Surgery, Washington University and Forest Park Hospital, 6125 Clayton Ave, Suite 430, St. Louis, MO 63139

(Email: hendrick.barner@forestparkhospital.com).

The first 20% of the full text of this article appears below.

This report [1] provides extensive angiographic and intravascular ultrasound follow-up of patients having coronary ostial and left main (LM) angioplasty with a patch of the proximal right internal thoracic artery (ITA) and demonstrating excellent anatomic results at 7 to 79 months postoperatively.

Ostial stenosis represents fibro-calcific disease of the aortic wall, whereas LM disease is atherosclerotic. The prevalence of ostial stenosis was 2.7% of patients (8,509) having coronary artery bypass (CAB) and was isolated (no coronary disease) in 17% (38 of 228) [2]. Not all authors distinguish these two entities, but in the present report, 32 of 43 (74%) had ostial disease, and in Dion's series it was 24 of 49 (49%) [1].

Isolated ostial stenosis deserves ostialplasty in . . . [Full Text of this Article]






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Copyright © 2006 by The Society of Thoracic Surgeons.