Chronic Total Occlusion of the Left Main Coronary Artery With Preserved Left Ventricular Systolic Function Presenting as a Chronic Coronary Syndrome: A Case Report and Brief Review.

Autor: Aydın SŞ; Cardiology, Erzurum City Hospital, Erzurum, TUR.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Oct 11; Vol. 15 (10), pp. e46830. Date of Electronic Publication: 2023 Oct 11 (Print Publication: 2023).
DOI: 10.7759/cureus.46830
Abstrakt: The incidence of lesions involving the left main coronary artery (LMCA) during coronary angiography is approximately 5% to 8%. It usually presents with acute coronary syndrome and can be fatal. Total occlusion of the LMCA is rare, often accompanied by myocardial infarction and cardiogenic shock. We present an LMCA chronic total occlusion case in a 60-year-old female patient with chronic coronary syndrome. In our case, the LMCA was selectively visualized, and it was found to be occluded. The right coronary artery fed the entire left system through the collateral network. The patient had no risk of coronary artery disease other than hypertension. Successful coronary artery bypass grafting was performed without any complications.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Aydın et al.)
Databáze: MEDLINE