Surgery for isolated non-inflammatory chronic total occlusion of the left main coronary artery: a case report and literature review.
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.
Division of Cardiothoracic Surgery, Serdang Hospital Heart Centre, Kajang 43000, Malaysia.
Ahmad Fithri
AF
Azam
Leow Ann
LA
How
Arif
A
Nor
Balaji
B
Badmanaban
A
A
Sachithanandan
D000328:Adult; D002908:Chronic Disease; D054059:Coronary Occlusion / Q000601:surgery*; D006801:Humans; D008297:Male