title: [Total left main coronary artery occlusion in a female patient after AVSD surgical repair in childhood as a cause of non ST elevation myocardial infarction].
abstract: A case of a 51-year-old woman with symptoms of non-ST-segment elevation acute coronary syndrome and concomitant  atrial flutter is presented. Patient underwent atrioventricular septal defect repair in childhood. Coronary angiography showed  total occlusion of left main coronary artery and massive collateral network originating from right coronary artery supplying  entire left coronary artery. Ablation of atrial flutter had been performed and patient was subsequently submitted to mitral  valve replacement, tricuspid valvuloplasty and coronary artery bypass grafting. The potential causes of left main occlusion are  in this case discussed.
authors.affiliation: II Katedra i Oddział Kliniczny Kardiologii, Śląski Uniwersytet Medyczny, Zabrze. greg_kubiak@yahoo.com
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Kubiak
authors.forename: Andrzej
authors.initials: A
authors.lastname: Tomasik
authors.forename: Damian
authors.initials: D
authors.lastname: Kawecki
authors.forename: Magdalena
authors.initials: M
authors.lastname: Traczewska
authors.forename: Janusz
authors.initials: J
authors.lastname: Dola
authors.forename: Wojciech
authors.initials: W
authors.lastname: Jacheć
authors.forename: Ewa
authors.initials: E
authors.lastname: Nowalany-Kozielska
mesh_terms: D000293:Adolescent; D002036:Bundle of His / Q000601:surgery; D013504:Cardiovascular Surgical Procedures / Q000009:adverse effects; D001026:Coronary Artery Bypass; D054059:Coronary Occlusion / Q000209:etiology* / Q000628:therapy; D005260:Female; D006343:Heart Septal Defects / Q000150:complications* / Q000601:surgery; D006346:Heart Septum / Q000601:surgery; D006349:Heart Valve Diseases / Q000150:complications* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000637:transplantation*; D009203:Myocardial Infarction / Q000209:etiology* / Q000601:surgery; D014261:Tricuspid Valve / Q000601:surgery