Abstract：
:Treatment of total left main coronary artery occlusion is rarely reported (84 chronic and acute cases in the world literature), due to the high mortality rate from massive myocardial infarction. Acute occlusions have been treated with intracoronary streptokinase, with percutaneous transluminal coronary angioplasty, or with both. To date, there has been no report of successful surgical revascularization in an acute case. We present 2 cases of surgically treated patients who survived total left main coronary artery occlusion that appears to have been acute, or acutely evolving. Both patients had an 80% or greater stenosis of the right coronary artery, yet have remained in New York Heart Association functional class I or II postoperatively. We attribute this not only to the aggressive surgical approach, which enabled reperfusion to be achieved within 2 hours of total occlusion, but to the protective effect in these patients of right coronary-to-left anterior descending collaterals.
journal_name
Tex Heart Inst Jjournal_title
Texas Heart Institute journalauthors
Lijoi A,Della Rovere F,Passerone GC,Dottori V,Scarano F,Bo M,Parodi E,Venere Gsubject
Has Abstractpub_date
1993-01-01 00:00:00pages
55-8; discussion 58-9issue
1eissn
0730-2347issn
1526-6702journal_volume
20pub_type
杂志文章abstract：:We report the case of a 35-year-old man who presented at our institution with intramural aortic hematoma shortly after inhaling cocaine and smoking crack cocaine. To our knowledge, such a case has not previously been reported in the English medical literature. Problems of diagnosis and the mechanisms of intramural hem...
journal_title：Texas Heart Institute journal
pub_type： 杂志文章,评审
doi：
更新日期：2001-01-01 00:00:00
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journal_title：Texas Heart Institute journal
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2006-01-01 00:00:00
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journal_title：Texas Heart Institute journal
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更新日期：2007-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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更新日期：1984-09-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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更新日期：1985-12-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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更新日期：2007-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2006-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：1987-06-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
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pub_type： 杂志文章
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
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doi：
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journal_title：Texas Heart Institute journal
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doi：
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章,评审
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journal_title：Texas Heart Institute journal
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更新日期：2000-01-01 00:00:00
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journal_title：Texas Heart Institute journal
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doi：
更新日期：1987-09-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章,评审
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2005-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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