In general, Coronary ostial stenosis rarely occurs in patient after the replacement of the aortic valve. It takes place after the aortic valve replacement procedure either in the left or right coronary blood vessel. The symptoms of the disease are severe and start appearing after one to six months. However, treatments could be done successfully. The treatment carried out is Coronary Artery Bypass Graft ( CABG ). In most cases, only 0.13% to 0.8 % patients undergo coronary angiography. The treatment of the disease use to relate with the atherosclerosis. It could be present around the aortic or in the form of lesion.
Myocardial Ischemia disease is due to the atherosclerotic plaque that lowers down the supply of blood to myocardium. The blood plate’s original flows are enough to meet the requirement, but when the demand increases, then it gets suppressed by angina and obstructed. Angina is produced by eating, exercise and stress that could be relieved by taking the rest. Throughout the time, patches that remain exposed get fractured or thicken. The platelet thrombus then gets collected on it. As time passes by, a patient could easily notices the symptoms of ischemia. The coronary ostial stenosis is due to failure and occlusion of atherosclerotic plaque.
To treat such condition, it is commonly via the use of Mediastinal Radiation. There may be chances of further damage that occurs depending on the dose of radiation used. Heart could be easily influenced by the high radiation dose, valvular dysfunction, pericardial disease or chest pain. Patients suffer from coronary ostial stenosis due to the radiation affected capillary. The radiation damaged could be easily noticed in people that were given the dose of 30 GY or more than that. Today larger number of people was given treatment by the radiotherapy.
The advance techniques were involved during the procedure so to protect the exposure of myocardial to the radiotherapy including the hyperfractionation, shielding and altering of depth fields. The radiations damaged were further treated using Coronary Artery Bypass Graft (CABG) and Percutaneous Transluminal Coronary Angioplasty ( PTCA ). The patients who were suffered from ostial stenosis were kept away by angioplasty.
Coronary Ostial Stenosis also treated by following the angioplasty that would be better performed when treated with CABG procedures effectively. Thus, CABG would be performed best when it has been treated effectively by using complete revascularization among the young patients. It is important to identify ostila stenois at the first stage so to carry out the treatment early. The disease involves risk and shows adverse affect in left main coronary stenosis, in patients. The valve repair and aortic root treatment procedure were introduced to treat the aortic valve disease. Some of the patients felt the ostial stenois problem after CARVAR Surgery. Repeated angiography would show the coroostial ostial stenosis in the patients.