Vol 70, No 5 (2012)
Invasive cardiology
Published online: 2012-05-23
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
DOI: 10.33963/v.kp.78917
Kardiol Pol 2012;70(5):533-535.
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.
Keywords: left main occlusionAVSD repairnon ST elevation myocardial infarction