Surgery for Isolated Non-Inflammatory Chronic Total Occlusion of the Left Main Coronary Artery: A Case Report and Literature Review
The Medical Journal of Malaysia
;
: 374-375, 2011.
Article
in English
| WPRIM
| ID: wpr-630122
ABSTRACT
Chronic total occlusion (CTO) of the left main coronary artery (LMCA) is a rare manifestation of coronary artery disease (CAD) and defined by a total absence of antegrade blood flow to the left anterior descending (LAD) and circumflex (Cx) system. Patients are at high risk of myocardial ischaemia as a sizeable area of myocardium is at risk and thus require urgent intervention. Surgery is the treatment of choice especially with CTO lesions as percutaneous coronary intervention has limited success with a high restenosis rate. We report a rare case of a young Chinese male who presented acutely with a myocardial infarction and discuss the aetiology and peri-operative technical considerations for successful surgery with this condition.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
English
Journal:
The Medical Journal of Malaysia
Year:
2011
Type:
Article
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