Total coronary arterial occlusion: real or apparent?
We describe a case in which the angiographic appearance of total occlusion of the left anterior descending coronary artery was not due to a complete anatomical obstruction, but due to competitive and retrograde flow in the distal segment of the artery from collaterals via the contralateral vessel. This case has implications on our current practice and results of coronary angioplasty in total coronary arterial occlusion.
Seth
A
A
University Department of Cardiology, Queen Elizabeth Medical Centre, Birmingham, U.K.
Perry
R A
RA
Shiu
M F
MF
D000787:Angina Pectoris / Q000000981:diagnostic imaging* / Q000473:pathology / Q000503:physiopathology; D003097:Collateral Circulation; D003251:Constriction, Pathologic; D017023:Coronary Angiography; D003326:Coronary Circulation; D003331:Coronary Vessels / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged