Archives de Médecine Interne Générale

Abstrait

Can stent-angioplasty be a legitimate alternative to surgical procedure.

Ruth Ogden

While intervention is indicated for anomalous origination of a coronary artery from the opposite sinus, stent-angioplasty may additionally appear greater appealing than coronary artery pass grafting. However, within the case of anomalous origination of a coronary artery from the alternative sinus, the anatomy is quite one-of-a-kind from that encountered in atherosclerotic sickness, and stent-angioplasty might involve uncommon challenges, each in method and prognostic consequences. We illustrate those points by means of presenting the two first instances in which intervention turned into indicated because of extreme signs and symptoms. We conclude from this preliminary observe that coronary artery skip grafting should still be taken into consideration the desired (even though unproven) method of revascularization in patients who've symptomatic anomalous origination of a coronary artery from the alternative sinus. until adequate data had been amassed to evaluate the overdue effects of stent-angioplasty in those patients (in evaluation with the outcomes of surgical and clinical treatment), the system have to be performed most effective in decided on patients, enrolled in potential, managed studies.

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