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Bilateral Isolated Coronary Ostial Stenosis Following Mediastinal Irradiation

Division of Cardiac Surgery, Royal Victoria Hospital, Belfast, Northern Ireland, UK

For reprint information contact: Anand Sachithanandan, AFRCSI Tel: 44 2890 240 503 Fax: 44 2890 894 918 Email: anandsachithanandan{at}yahoo.com Cardiac Surgery Unit, Royal Victoria Hospital, Belfast, Northern Ireland, UK.

Isolated coronary ostial narrowing is rare and may represent a separate disease entity from atherosclerotic coronary artery disease. The case of a 41-year-old female with no coronary risk factors who developed severe bilateral isolated coronary ostial stenosis following mantle radiotherapy for Hodgkin’s disease is described. She underwent urgent coronary artery bypass grafting and has remained well for 3 years.