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Coronary ostial stenosis.
Author(s) -
Corey Pritchard,
J. Gerard Mudd,
Hendrick B. Barner
Publication year - 1975
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.52.1.46
Subject(s) - medicine , ostium , cardiology , coronary angiography , stenosis , chest pain , catheter , angiography , lesion , radiology , surgery , myocardial infarction
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 the left ostium carries the same serious prognosis as does left main coronary disease.

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