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Ann Cardiol Angeiol (Paris). 1990 Mar;39(3):161-3.

[Painless obstruction of the left coronary trunk. Apropos of a case].

Annales de cardiologie et d'angeiologie

[Article in French]
C Selton-Suty, N Danchin, Y Juillière, G Karcher, J P Villemot, F Cherrier

Affiliations

  1. Service de Cardiologie B, Hôpital Brabois, CHU Nancy.

PMID: 2188561

Abstract

The originality of this observation of the complete occlusion of the left coronary artery lies in its painless character on the angina level. The affection was revealed by the clinical manifestations of the left ventricular failure in severe ischaemic myocardiopathy. The diagnosis of the ischaemia was made during the physical exercise test coupled with thallium scintigraphy. It therefore seems to be a form of silent ischaemia in major coronary lesions, for which the only conceivable therapeutic option is surgery, considering the particularly pessimistic spontaneous prognosis.

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