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      Left Main Coronary Artery Occlusion

      , , ,

      Cardiology

      S. Karger AG

      Occlusion, Left main coronary artery

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          Abstract

          Patients with complete occlusion of the left main coronary artery are candidates for massive myocardial infarction and sudden death and are thought to have a uniformly poor prognosis. Complete occlusion of the left main coronary artery was identified in 2 male patients among 2,546 patients undergoing cardiac catheterization over a period of 14.5 years in our institution. Both patients had angina pectoris. Left ventricular end-diastolic pressure was markedly elevated in one, and the ejection fraction was moderately to markedly reduced in both. Significant collateral flow to the left coronary system from the right coronary artery was present in both patients. Our study supports previous reports that left main coronary artery occlusion is rarely encountered during cardiac catheterization.

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          Author and article information

          Journal
          CRD
          Cardiology
          10.1159/issn.0008-6312
          Cardiology
          S. Karger AG
          0008-6312
          1421-9751
          1985
          1985
          11 November 2008
          : 72
          : 4
          : 208-213
          Affiliations
          Cardiology Division, University of Utah, and Salt Lake City VA Medical Center, Salt Lake City, Utah, USA
          Article
          173875 Cardiology 1985;72:208–213
          10.1159/000173875
          4053116
          © 1985 S. Karger AG, Basel

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          Page count
          Pages: 6
          Categories
          Case Report

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