Moreno-Martínez FL, González CR, Lagomasino HÁL, Ibargollín HRS, Aladro MIF, Vega FLF, Mirabal RR, Bermúdez YGJ, Medrano PY, Bermúdez YR

Language: Spanish
References: 17
Page: 67-72
PDF size: 512.31 Kb.

ABSTRACT

The left main coronary artery stenosis is found in 3-5 % of patients who undergo coronary angiography, but total occlusion is rare (0,05-0,1 %). In this article, the case of a 42-year-old patient with chronic total occlusion of the left main coronary artery is presented. This patient, who also had 85 % stenosis of the right coronary artery, was surgically and successfully revascularized. 3 grafts were implanted: mammary artery to the anterior descending artery and saphenous vein to the obtuse marginal and posterior descending artery. The angiographic and surgery images are shown, and treatment options are discussed, where the most important thing is to individualize treatment in order to provide the best option for each patient. It order to achieve this, an excellent team work is essential, in which, as in this case, the interventional cardiologist and cardiovascular surgeon complement each other for the good of the patient.

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