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Updated: Jun 13, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

Published on: April 24, 2017

[Surgical angioplasty of the left main coronary artery]

Mile Vranes, Milos Velinović, Mladen Kocica

    Srpski Arhiv Za Celokupno Lekarstvo
    |April 29, 2010
    PubMed

    Insights

    Direct surgical angioplasty offers a new approach for isolated left main coronary artery stenosis, improving myocardial perfusion. This method provides better long-term outcomes compared to conventional bypass surgery.

    Area of Science:

    • Cardiovascular Surgery
    • Interventional Cardiology

    Context:

    • Isolated left main coronary artery stenosis poses significant risks.
    • Conventional bypass surgery does not halt atherosclerosis progression.
    • Myocardial revascularization provides incomplete ventricular perfusion.

    Purpose:

    • To introduce a novel surgical technique for left main coronary artery stenosis.
    • To evaluate the efficacy of direct surgical angioplasty in treating this condition.

    Summary:

    • Direct surgical angioplasty of the left main coronary artery was performed on three patients.
    • The procedure utilized an anterior approach with pericardium grafting.
    • Patients were monitored for clinical, echocardiographic, and functional outcomes.

    Impact:

    • Surgical angioplasty resulted in no postoperative complications.
    • Long-term follow-up (54-68 months) showed no recurrence of angina or ischemia.
    • This technique is a preferred alternative for specific cases of left main coronary artery stenosis.
    Abstract

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