[Painless obstruction of the left coronary trunk. Apropos of a case].
The originality of this observation of the complete occlusion of the left coronary artery lies in its painless character on the angina level. The affection was revealed by the clinical manifestations of the left ventricular failure in severe ischaemic myocardiopathy. The diagnosis of the ischaemia was made during the physical exercise test coupled with thallium scintigraphy. It therefore seems to be a form of silent ischaemia in major coronary lesions, for which the only conceivable therapeutic option is surgery, considering the particularly pessimistic spontaneous prognosis.
Service de Cardiologie B, Hôpital Brabois, CHU Nancy.
C
C
Selton-Suty
N
N
Danchin
Y
Y
Juillière
G
G
Karcher
J P
JP
Villemot
F
F
Cherrier
D003327:Coronary Disease / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged
Obstruction indolore du tronc coronaire gauche. A propos d'un cas.