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Composite Y-Graft for Syphilitic Ostial Stenosis in Left Main Coronary Artery

Division of Cardiovascular Surgery, Teikyo University School of Medicine Ichihara Hospital, Ichihara City, Japan

For reprint information contact: Keita Tanaka, MD Tel: 81 3 3588 1111 Fax: 81 3 3582 7068 Email: kyky-tanaka{at}mvc.biglobe.ne.jp, Division of Cardiovascular Surgery, Cardiovascular Center, Toranomon Hospital, 2-2-2, Toranomon, Minato-ku, Tokyo 105-8470, Japan.

Coronary ostial stenosis is one of the cardiac manifestations of tertiary syphilis and should be perceived as a disorder of the aorta. A 45-year-old man with no coronary risk factors except smoking developed severe isolated ostial stenosis in the left main coronary artery. He underwent emergency bypass surgery using the bilateral internal thoracic arteries as a composite Y-graft, and recovered uneventfully.