Chronic total occlusion of the left main coronary artery [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2005; 33(3): 164-166

Chronic total occlusion of the left main coronary artery

Doğan Erdoğan1, Hakan Güllü1, Mustafa Çalışkan1, Haldun Müderrisoğlu1

A 71-year-old man presented with shortness of breath that increased in severity within the past six hours. Medical treatment following an initial diagnosis of acute pulmonary edema improved his symptoms. Coronary angiography performed on the seventh day of admission showed total occlusion of the left main coronary artery and well-developed collateral vessels extending from the right coronary artery to the left anterior descending (LAD) and circumflex arteries. Surgical treatment included anastomosis of the left internal mammary artery to the LAD artery and an aorto-circumflex artery bypass using a saphenous graft. Postoperative period was uneventful and his complaints did not recur within a follow-up period of 10 months. The favorable prognosis was attributed to the development of collateral vessels.

Keywords: Arterial occlusive diseases/diagnosis; collateral circulation; coronary angiography; coronary disease/diagnosis

How to cite this article
Doğan Erdoğan, Hakan Güllü, Mustafa Çalışkan, Haldun Müderrisoğlu. Chronic total occlusion of the left main coronary artery. Turk Kardiyol Dern Ars. 2005; 33(3): 164-166
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