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 foll owing direct reconstructive procedures were performed: autovenous graf ting, instrumental dilatation, and autovenous patch implantation. One patients died of perioperative myocardial Infarction. In four other pa tients surgery resulted in improvement of results of exercise tests an d disappearance of angina; These patients were followed up from 2 mont hs to 3 years and none of them developed myocardial infarction during this period. Good patency of reconstructed segments of left coronary a rtery trunk was found at control angiography in all 4 cases.