1975
DOI: 10.1161/01.cir.52.1.46
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Coronary ostial stenosis.

Abstract: Symptomatic, nonsyphilitic, acquired coronary ostial stenosis is a rare angiographic finding and was found in 0.13% of 3000 coronary angiograms. Three females with this lesion have been treated surgically. Two had left coronary ostial involvement. Coronary angiography may result in catheter tip occulsion of the ostium with chest pain, dyspnea, diaphoresis, systemic hypotension and abrupt fall in pressure at the catheter tip. Recognition of this entity is necessary for safe coronary angiography. Involvement of … Show more

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Cited by 67 publications
(26 citation statements)
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“…This is a striking difference from the usual 7:l male preponderance in atherosclerotic coronary artery disease. Isolated ostial stenosis occurring in two middle-aged females has been described by Pritchard et al [5] and eight of nine cases with isolated ostial stenosis reported in a postmortem study by Rissanen [6] were female. The condition may represent a specific disease entity not previously recognized.…”
Section: Introductionmentioning
confidence: 72%
See 1 more Smart Citation
“…This is a striking difference from the usual 7:l male preponderance in atherosclerotic coronary artery disease. Isolated ostial stenosis occurring in two middle-aged females has been described by Pritchard et al [5] and eight of nine cases with isolated ostial stenosis reported in a postmortem study by Rissanen [6] were female. The condition may represent a specific disease entity not previously recognized.…”
Section: Introductionmentioning
confidence: 72%
“…This suggestion is reinforced by a review of previously reported cases. Thus Pritchard and associates [5] reported three patients with ostial stenosis; all three were female and in two (aged 37 and 47) the lesion was isolated in that it involved the ostium of the left coronary without other angiographically detectable Unfortunately, histological studies were not performed in this series of patients although the author comments that "in some cases macroscopical examination of the specimens gave an impression that the ostial stenosis was nonsclerotic. A congenital arterial hypoplasia complicated by progressive thickening of the aortic intima by advancing age may be one explanation for these cases.…”
Section: Discussionmentioning
confidence: 94%
“…Moreover, the long-term (3-year) outcome was also similar to that of typical ostial coronary lesions treated with medical [21], interventional [22,23] or surgical [24] modalities and carried a substantial risk of major adverse cardiovascular events as reflected by sudden cardiac death of a patient with left main coronary stenosis treated medically and targetvessel revascularisation in 2 patients treated with PCI. These findings implicate the potentially dismal outcome of catheter-induced later coronary stenosis and thereby underline the importance of both prevention and aggressive management of this complication when it occurs.…”
Section: Prognosis For Late Catheter-induced Coronary Artery Stenosismentioning
confidence: 57%
“…The incidence varies between 0.13% and 2.7% of patients with angiographic coronary disease. [171][172][173] On the other hand, non-aorto-ostial stenosis is not an uncommon finding in patients with atherosclerosis. Although the efficacy of surgical revascularization in patients with ostial stenosis is well recognized, 174 catheter-based coronary revascularization also has been applied successfully to this lesion subset.…”
Section: Ostial Lesionsmentioning
confidence: 99%