open access

Vol 70, No 3 (2012)
Case studies
Published online: 2012-03-19
Submitted: 2012-12-28
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Acute coronary syndrome without ST segment elevation in a 78 year-old woman caused by critical proximal right coronary artery stenosis with concomitant chronic total occlusion of left main coronary artery

Radosław Kręcki, Karolina Frynas, Jan Z. Peruga, Jarosław D. Kasprzak
Kardiol Pol 2012;70(3):269-271.

open access

Vol 70, No 3 (2012)
Case studies
Published online: 2012-03-19
Submitted: 2012-12-28

Abstract

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. We present a case of a 78 year-old woman admitted to our department with two days history of nonspecific, abdominal pain. Her coronarography revealed chronic total occlusion of left main with concomitant critical, proximal right coronary artery stenosis.

Abstract

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. We present a case of a 78 year-old woman admitted to our department with two days history of nonspecific, abdominal pain. Her coronarography revealed chronic total occlusion of left main with concomitant critical, proximal right coronary artery stenosis.
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Keywords

chronic total occlusion; left main; acute coronary syndrome

About this article
Title

Acute coronary syndrome without ST segment elevation in a 78 year-old woman caused by critical proximal right coronary artery stenosis with concomitant chronic total occlusion of left main coronary artery

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 70, No 3 (2012)

Pages

269-271

Published online

2012-03-19

Bibliographic record

Kardiol Pol 2012;70(3):269-271.

Keywords

chronic total occlusion
left main
acute coronary syndrome

Authors

Radosław Kręcki
Karolina Frynas
Jan Z. Peruga
Jarosław D. Kasprzak

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