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


1 Department of Cardiothoracic and Vascular Surgery, All Institute of Medical Sciences, New Delhi, India
2 Department of Cardiovascular Anaesthesia, All Institute of Medical Sciences, New Delhi, India
3 Department of Cardiac Radiology, All Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Ujjwal Kumar Chowdhury
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_79_17

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Year : 2017  |  Volume : 20  |  Issue : 4  |  Page : 444-446

 

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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.






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1 Department of Cardiothoracic and Vascular Surgery, All Institute of Medical Sciences, New Delhi, India
2 Department of Cardiovascular Anaesthesia, All Institute of Medical Sciences, New Delhi, India
3 Department of Cardiac Radiology, All Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Ujjwal Kumar Chowdhury
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi - 110 029
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_79_17

Rights and Permissions

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.






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