title: [Ischemic left ventricular failure. Main stem coronary stenosis treated with angioplasty].
abstract: We describe a patient with stenosis on the left main stem and severe impairment of the left ventricular function. Because of reversible myocardial ischaemia in a patient whose clinical situation prohibited surgery, angioplasty on the left main stem was performed, leading to considerable improvement of the ventricular function. Improvement was slow, however, probably due to "stunning" of the myocardium. We underline the importance of early angiography in patients when it is suspected that a larger part of the myocardium is affected by severe, reversible ischaemia.
authors.affiliation: Medisinsk klinikk, Ullevål sykehus, Oslo.
authors.forename: E O
authors.initials: EO
authors.lastname: Rykke
authors.forename: K
authors.initials: K
authors.lastname: Gjesdal
authors.forename: O
authors.initials: O
authors.lastname: Skjaeggestad
authors.forename: K
authors.initials: K
authors.lastname: Grønseth
authors.forename: R
authors.initials: R
authors.lastname: Hol
mesh_terms: D000787:Angina Pectoris / Q000150:complications; D000792:Angiography; D015906:Angioplasty, Balloon, Coronary; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006352:Heart Ventricles / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged
vernacular_title: Ischemisk betinget venstre ventrikkel-svikt. Hovedstammestenose behandlet med angioplastikk.