Volume 10, Issue 7 e6013
CASE VIDEO
Open Access

Angiographic retrograde filling of all left coronary arterial branches in a patient with chronic total occlusion of left main coronary artery

Ioannis Nenekidis

Ioannis Nenekidis

First Department of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece

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George Samanidis

Corresponding Author

George Samanidis

First Department of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece

Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens, Greece

Correspondence

George Samanidis, Onassis Cardiac Surgery Center, 356 Leoforos Suggrou, Athens 17674, Greece.

Email: [email protected]

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Meletios Kanakis

Meletios Kanakis

Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens, Greece

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Constantinos Contrafouris

Constantinos Contrafouris

First Department of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece

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Eleni Karavana

Eleni Karavana

Department of Cardiac Surgery, Robert Bosch Krakenhause, Stuttgart, Germany

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Nikolaos Papakonstantinou

Nikolaos Papakonstantinou

Department of Cardiology, "Tzaneio" General Hospital of Piraeus, Piraeus, Greece

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Andrew Chatzis

Andrew Chatzis

First Department of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece

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Konstantinos Perreas

Konstantinos Perreas

First Department of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece

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First published: 11 July 2022

Abstract

A 81-year-old female patient was referred in our hospital with episodes of pulmonary edema and had an isolated chronic total occlusion of the left main coronary artery. Coronary angiogram showed total occlusion the left main and filling the left coronary system by collaterals from the right coronary artery.

A 81-year-old female patient referred to our hospital and had a chronic total occlusion of the left main coronary artery (LM). Coronary angiogram showed total occlusion of the LM and filling the left coronary system by collaterals from the right coronary artery (RCA) (Videos S1–S3). Chronic total occlusion of the LM is rarely observed on coronary angiogram.1 To our knowledge, there are only few reports which demonstrate the filling of the left coronary system from the RCA.2 Thus within the broad spectrum of significant LM coronary artery disease, we report this imaging for its rarity.

AUTHOR CONTRIBUTIONS

All authors contributed equally in carrying out the medical literature and writing the manuscript.

ACKNOWLEDGMENT

None.

    CONFLICT OF INTEREST

    None declared.

    CONSENT

    Written informed consent was obtained from the patient to publish this report in accordance with the journal's patient consent policy.

    DATA AVAILABILITY STATEMENT

    The data that support the findings of this study are available from the corresponding author upon reasonable request.

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