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A case of chronic left main trunk occlusion treated with off-pump coronary artery bypass grafting

Ischemic heart disease presents with various symptoms, and chest pain is a chief complaint. Occlusion of the left main trunk often results in serious symptoms such as cardiogenic shock. However, while extremely rare, left main trunk occlusion can present with only slight chronic symptoms. In the pre...

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Detalles Bibliográficos
Autores principales: Kawatani, Yohei, Nakamura, Yoshitsugu, Hori, Takaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5810438/
https://www.ncbi.nlm.nih.gov/pubmed/29479414
http://dx.doi.org/10.1093/jscr/rjy006
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author Kawatani, Yohei
Nakamura, Yoshitsugu
Hori, Takaki
author_facet Kawatani, Yohei
Nakamura, Yoshitsugu
Hori, Takaki
author_sort Kawatani, Yohei
collection PubMed
description Ischemic heart disease presents with various symptoms, and chest pain is a chief complaint. Occlusion of the left main trunk often results in serious symptoms such as cardiogenic shock. However, while extremely rare, left main trunk occlusion can present with only slight chronic symptoms. In the present case, a 62-year-old woman with few risk factors for ischemic heart disease visited our hospital complaining of exertional chest pain, which had gradually intensified over the past several years. Coronary artery computed tomography revealed total occlusion of the left main trunk, which was examined closely using coronary angiography. Coronary angiography showed that the left coronary artery was perfused by collateral pathways from the right coronary artery. The patient was thus diagnosed with chronic occlusion of the left main trunk. She underwent off-pump coronary artery bypass grafting, which proved to be an effective treatment.
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spelling pubmed-58104382018-02-23 A case of chronic left main trunk occlusion treated with off-pump coronary artery bypass grafting Kawatani, Yohei Nakamura, Yoshitsugu Hori, Takaki J Surg Case Rep Case Report Ischemic heart disease presents with various symptoms, and chest pain is a chief complaint. Occlusion of the left main trunk often results in serious symptoms such as cardiogenic shock. However, while extremely rare, left main trunk occlusion can present with only slight chronic symptoms. In the present case, a 62-year-old woman with few risk factors for ischemic heart disease visited our hospital complaining of exertional chest pain, which had gradually intensified over the past several years. Coronary artery computed tomography revealed total occlusion of the left main trunk, which was examined closely using coronary angiography. Coronary angiography showed that the left coronary artery was perfused by collateral pathways from the right coronary artery. The patient was thus diagnosed with chronic occlusion of the left main trunk. She underwent off-pump coronary artery bypass grafting, which proved to be an effective treatment. Oxford University Press 2018-02-13 /pmc/articles/PMC5810438/ /pubmed/29479414 http://dx.doi.org/10.1093/jscr/rjy006 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2018. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Kawatani, Yohei
Nakamura, Yoshitsugu
Hori, Takaki
A case of chronic left main trunk occlusion treated with off-pump coronary artery bypass grafting
title A case of chronic left main trunk occlusion treated with off-pump coronary artery bypass grafting
title_full A case of chronic left main trunk occlusion treated with off-pump coronary artery bypass grafting
title_fullStr A case of chronic left main trunk occlusion treated with off-pump coronary artery bypass grafting
title_full_unstemmed A case of chronic left main trunk occlusion treated with off-pump coronary artery bypass grafting
title_short A case of chronic left main trunk occlusion treated with off-pump coronary artery bypass grafting
title_sort case of chronic left main trunk occlusion treated with off-pump coronary artery bypass grafting
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5810438/
https://www.ncbi.nlm.nih.gov/pubmed/29479414
http://dx.doi.org/10.1093/jscr/rjy006
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