Key result
Surgical angioplasty with autopericardium patch reconstruction for radiation-induced bilateral coronary ostial stenosis resulted in no cardiovascular events and symptom-free survival at 5 years.
Why the study?
Isolated coronary ostial stenosis of both ostia is a rare, potentially life-threatening condition occurring in 0.1%-0.2% of patients undergoing coronary angiography.
Population
One 69-year-old woman with post-radiotherapy stenosis of both coronary ostia and aortic stenosis
Comparison
Surgical angioplasty with autopericardium patch reconstruction instead of conventional bypasses
Design
Case report
Follow-up
5 years
Authors
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Suggests patch reconstruction may offer a CABG alternative for isolated radiation-induced ostial.
Case Report (n=1)
Surgical coronary angioplasty with autopericardium patch reconstruction may be a viable alternative to CABG for isolated coronary ostial lesions, particularly in patients with prior radiation therapy.
Mamedov et al. (2023) conducted a case report in Isolated coronary ostial stenosis of both ostia and aortic stenosis after chest radiotherapy (n=1). Surgical angioplasty with autopericardium patch reconstruction of the left main and right coronary arteries with concomitant aortic valve replacement was evaluated on Cardiovascular events and symptoms. Surgical angioplasty with autopericardium patch reconstruction for radiation-induced bilateral coronary ostial stenosis resulted in no cardiovascular events and symptom-free survival at 5 years.
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