Chronic total occlusion of the left main coronary artery and right coronary artery stenosis

Authors

  • Francisco L. Moreno-Martínez Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Ramón González Chinea Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Álvaro L. Lagomasino Hidalgo Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Rosendo S. Ibargollín Hernández Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Iguer F. Aladro Miranda Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Luis F. Vega Fleites Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Roger Mirabal Rodríguez Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Gustavo de J. Bermúdez Yera Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Yuri Medrano Plana Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Roberto Bermúdez Yera Hospital Provincial Universitario Cardiocentro Ernesto Guevara

Keywords:

coronary occlusion, coronary angiography, coronary artery bypass

Abstract

The left main coronary artery stenosis is found in 3-5 % of patients who undergo coronary angiography, but total occlusion is rare (0,05-0,1 %). In this article, the case of a 42-year-old patient with chronic total occlusion of the left main coronary artery is presented. This patient, who also had 85 % stenosis of the right coronary artery, was surgically and successfully revascularized. 3 grafts were implanted: mammary artery to the anterior descending artery and saphenous vein to the obtuse marginal and posterior descending artery. The angiographic and surgery images are shown, and treatment options are discussed, where the most important thing is to individualize treatment in order to provide the best option for each patient. 

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Published

2012-03-22

How to Cite

1.
Moreno-Martínez FL, González Chinea R, Lagomasino Hidalgo Álvaro L, Ibargollín Hernández RS, Aladro Miranda IF, Vega Fleites LF, et al. Chronic total occlusion of the left main coronary artery and right coronary artery stenosis. CorSalud [Internet]. 2012 Mar. 22 [cited 2025 Dec. 4];4(1):67-72. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/1205

Issue

Vol. 4 No. 1 (2012)

Section

CASE REPORTS

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