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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

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...

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Autor principal: Aydın, Sidar Şiyar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636630/
https://www.ncbi.nlm.nih.gov/pubmed/37954700
http://dx.doi.org/10.7759/cureus.46830
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author Aydın, Sidar Şiyar
author_facet Aydın, Sidar Şiyar
author_sort Aydın, Sidar Şiyar
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description 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.
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spelling pubmed-106366302023-11-11 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 Aydın, Sidar Şiyar Cureus Cardiology 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. Cureus 2023-10-11 /pmc/articles/PMC10636630/ /pubmed/37954700 http://dx.doi.org/10.7759/cureus.46830 Text en Copyright © 2023, Aydın et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Aydın, Sidar Şiyar
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636630/
https://www.ncbi.nlm.nih.gov/pubmed/37954700
http://dx.doi.org/10.7759/cureus.46830
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