Complete occlusion of all three main coronary arteries, with survival dependent on two septal arteries.
A 68-year-old Asian gentleman presented with limiting angina pectoris following myocardial infarction. Coronary angiography demonstrated complete occlusion of the left anterior descending artery after the first septal, the proximal right coronary artery and also the proximal part of the circumflex. The myocardial blood supply was wholly dependent on two septal arteries.
Ashraf
S S
SS
Department of Cardiothoracic Surgery, Manchester Royal Infirmary, UK.
Shoukat
N
N
Keenan
D J
DJ
D000368:Aged; D003097:Collateral Circulation / Q000502:physiology*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003326:Coronary Circulation / Q000502:physiology*; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003925:Diabetic Angiopathies / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male