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A long history of the left main coronary artery occlusion
1Department of Cardiovascular Disease, University Medical Centre, Ljubjana, Slovenia.
Cor Et Vasa
|January 1, 1992
Insights
A 70-year-old woman survived 12 years with severe angina pectoris due to left main coronary artery occlusion. Adequate collateral circulation and hibernating myocardium were key factors in her prolonged survival.
Area of Science:
- Cardiology
- Clinical Case Study
Background:
- Severe angina pectoris is a debilitating condition often requiring immediate intervention.
- Left main coronary artery occlusion poses a significant risk of sudden cardiac death.
Observation:
- A 70-year-old female patient presented with a 12-year history of severe angina pectoris.
- Imaging revealed complete occlusion of the left main coronary artery.
Findings:
- The patient's prolonged survival despite critical coronary artery disease was attributed to robust collateral circulation.
- Evidence of hibernating myocardium likely contributed to preserving cardiac function.
Implications:
- This case highlights the potential for long-term survival in complex coronary artery disease with favorable compensatory mechanisms.
- Understanding collateral circulation and myocardial hibernation is crucial for managing high-risk cardiac patients.
Abstract:
The case of a 70-year-old woman with severe angina pectoris for 12 years and occlusion of the left main coronary artery is presented. The reasons for this long history seemed to be adequate collateral circulation, hibernating myocardium, as well as incredible patience of the patient.