DIRECT RECONSTRUCTIVE SURGERY OF ISOLATED LEFT MAIN CORONARY-ARTERY STENOSES IN PATIENTS WITH ISCHEMIC-HEART-DISEASE

In 5 patients with isolated left main coronary artery disease the following direct reconstructive procedures were performed: autovenous grafting, instrumental dilatation, and autovenous patch implantation. One patients died of perioperative myocardial Infarction. In four other patients surgery resulted in improvement of results of exercise tests and disappearance of angina; These patients were followed up from 2 months to 3 years and none of them developed myocardial infarction during this period. Good patency of reconstructed segments of left coronary artery trunk was found at control angiography in all 4 cases.