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Successful surgical osteoplasty of the left main coronary artery with concomitant mitral valve replacement and tricuspid annuloplasty.

Authors :
Chowdhury, Ujjwal Kumar
Chauhan, Abhinav Singh
Kapoor, Poonam Malhotra
Hasija, Suruchi
Jagia, Priya
Ramakrishnan, Pradeep
Source :
Annals of Cardiac Anaesthesia. Oct-Dec2017, Vol. 20 Issue 4, p444-446. 3p.
Publication Year :
2017

Abstract

A 50-year-old woman with rheumatic heart disease, mitral stenosis, and critical isolated left main ostial stenosis was successfully treated by mitral valve replacement, tricuspid annuloplasty, and surgery of left main osteoplasty and is reported for its rarity. Notable clinical findings included an intermittently irregular pulse, blood pressure of 100/70 mmHg, cardiomegaly, a diastolic precordial thrill, a mid-diastolic murmur without presystolic accentuation that was loudest at the mitral area. Chest radiograph revealed cardiomegaly with a cardiothoracic ratio of 0.7 due to enlarged right atrium, right ventricle with a straightened left heart border and evidence of pulmonary hypertension. The investigation shows that surgical reconstruction of the left main coronary artery is safe and effective for the treatment. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09719784
Volume :
20
Issue :
4
Database :
Academic Search Index
Journal :
Annals of Cardiac Anaesthesia
Publication Type :
Academic Journal
Accession number :
125571224
Full Text :
https://doi.org/10.4103/aca.ACA_79_17