Angiology

 

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First published on April 2, 2008
Angiology 2008, doi:10.1177/0003319708314247
© 2008 SAGE Publications

Article

Chronic Effort-Induced Angina as Presentation of a Totally Occluded Left Main Coronary Artery: A Case Report and Review

Nancy K. Koster* and Michael White

* To whom correspondence should be addressed. E-mail: nancy.koster{at}cardiac.creighton.edu.


  Abstract
In this report, the case of a 40-year-old patient with chronic total occlusion of the left main coronary artery is discussed. Total occlusion of the left main coronary artery is a rare finding at coronary angiography. When present, patients most often have extensive collateral circulation from the right coronary artery. The mainstay of treatment is surgical with coronary artery bypass grafting.


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