Delayed improvement of myocardial function after recanalization of a chronic coronary occlusion in a patient with intractable heart failure.

Abstract:

:This case report describes the delayed improvement of left ventricular function by recanalization of an occluded coronary artery in a patient with intractable heart failure and three-vessel disease. The left anterior descending coronary artery was occluded distal to the first septal branch, the dominant right coronary artery had a diameter stenosis of 70-80% in its middle part, and the circumflex artery a proximal stenosis of 50%. Ventriculography revealed globally depressed left ventricular function with an ejection fraction of 16%. Successful recanalization and angioplasty of the occluded coronary artery resulted in a slow improvement of left ventricular function. Ultimate recovery of systolic performance (increase of ejection fraction from 16% to 48-51%) required more than half a year. It is speculated that stunned myocardium following chronic ischaemia is a consequence of vascular dysfunction.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Klein HH,Neuhaus KL

doi

10.1093/oxfordjournals.eurheartj.a059698

subject

Has Abstract

pub_date

1990-03-01 00:00:00

pages

280-6

issue

3

eissn

0195-668X

issn

1522-9645

journal_volume

11

pub_type

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