Regression of left main coronary ostium stenosis after surgical revascularization and steroid therapy.

Abstract

We describe a patient in whom stenosis of the left main coronary ostium completely regressed after steroid treatment following surgical revascularization. A 46-year-old woman with unstable angina underwent double coronary artery bypass grafting. Although she did not fulfill diagnostic criteria for Takayasu's disease, we began postoperative steroid therapy on postoperative day 14 based on clinical manifestations and histological findings. Coronary angiography 33 days after surgery showed the ostial stenosis of the left main coronary artery had disappeared. Steroid therapy for suspected Takayasu's disease should be considered even after surgical revascularization.

• Authors: Y Isomatsu, S Hoshino, H Tsukui, M Hara, Y Nishiya, T Ishikawa
• Journal: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi (Jpn J Thorac Cardiovasc Surg) Vol. 48 Issue 9 Pg. 594-6 (Sep 2000) ISSN: 1344-4964 [Print] Japan
• PMID: 11030134 (Publication Type: Case Reports, Journal Article)

Chemical References

• Glucocorticoids
• Prednisolone

Topics

• Coronary Artery Bypass
• Coronary Disease (therapy)
• Female
• Glucocorticoids (administration & dosage)
• Humans
• Middle Aged
• Prednisolone (administration & dosage)
• Takayasu Arteritis (therapy)