Asian Annals
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Raja Parvez Akhtar
Zafar Tufail
Right arrow Permission Requests
Google Scholar
Right arrow Articles by Akhtar, R. P.
Right arrow Articles by Khan, J. S.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Akhtar, R. P.
Right arrow Articles by Khan, J. S.

ORIGINAL ARTICLE

Surgery for Chronic Total Occlusion of the Left Main Stem: A 10-Year Experience

Raja Parvez Akhtar, FRCS, Mumraiz Salik Naqshband, MBChB1, Abdul Rehman Abid, FCPS2, Zafar Tufail, FRCS, Abdul Waheed, FCPS, Jawad Sajid Khan, FRCS

Department of Cardiac Surgery, Punjab Institute of Cardiology, Lahore, Pakistan
1 Department of Cardiology, Punjab Institute of Cardiology Lahore, Pakistan
2 Department of Research and CME Punjab Institute of Cardiology, Lahore, Pakistan

Raja Parvez Akhtar, FRCS, Tel: +92 3008465515, Fax: +92 429200028, Email: rajapakhtar{at}gmail.com, Cardiac Surgery Department, Punjab Institute of Cardiology, Lahore, Pakistan.

ABSTRACT

Chronic total occlusion of the left main stem coronary artery is rare. This retrospective study was conducted to evaluate outcomes of coronary artery bypass grafting between June 1998 and June 2008 in patients with chronic left main stem total occlusion. There were 17 (0.025%) cases detected in 67,082 coronary angiograms. The 14 men and 3 women had a mean age of 55.32 ± 9.2 years. Risk factors included diabetes in 8, hypertension in 6, and smoking in 6. Of 54 grafts applied, 15 were arterial and 39 were venous; 14 patients had 3-vessel disease, and 3 had 4-vessel disease. Three patients required intraaortic balloon counterpulsation perioperatively. The mean intensive care unit stay was 2.1 ± 1.2 days, and hospital stay was 7.1 ± 1.5 days. Postoperatively, one patient suffered myocardial infarction, another had a transient ischemic attack with spontaneous recovery, and 2 developed atrial fibrillation. There was no operative or hospital death. Surgical revascularization is considered appropriate treatment for chronic total occlusion of the left main stem.

Key Words: Coronary artery disease • Left main stem disease • Chronic total occlusion • Coronary artery bypass graftin • Percutaneous coronary intervention

Asian Cardiovasc Thorac Ann 2009; 17:472-476
© 2009 by SAGE Publications
DOI: 10.1177/0218492309343857




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2009 by SAGE Publications