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

Creighton Cardiac Center, Creighton University School of Medicine, Omaha, Nebraska, nancy.koster{at}cardiac.creighton.edu

Michael White, MD

Duke University, Durham, North Carolina

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.

Key Words: angina • left main coronary artery occlusion • collaterals • coronary artery bypass surgery

This version was published on June 1, 2009

Angiology, Vol. 60, No. 3, 382-384 (2009)
DOI: 10.1177/0003319708314247


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