Surgery for Isolated Non-Inflammatory Chronic Total Occlusion of the Left Main Coronary Artery: A Case Report and Literature Review
- Author:
Ahmad Fithri Azam
;
Leow Ann How
;
Arif Nor
;
Balaji Badmanaban
;
A Sachithanandan
- Publication Type:Case Reports
- Keywords:
Chronic total occlusion (CTO), Coronary artery disease (CAD)
- From:
The Medical Journal of Malaysia
2011;66(4):374-375
- CountryMalaysia
- Language:English
-
Abstract:
Chronic total occlusion (CTO) of the left main coronary artery (LMCA) is a rare manifestation of coronary artery disease (CAD) and defined by a total absence of antegrade blood flow to the left anterior descending (LAD) and circumflex (Cx) system. Patients are at high risk of myocardial ischaemia as a sizeable area of myocardium is at risk and thus require urgent intervention. Surgery is the treatment of choice especially with CTO lesions as percutaneous coronary intervention has limited success with a high restenosis rate. We report a rare case of a young Chinese male who presented acutely with a myocardial infarction and discuss the aetiology and peri-operative technical considerations for successful surgery with this condition.
