Transthoracic echocardiographic diagnosis of chronic total coronary artery occlusion
█ Case report
DOI: 10.26430/CHUNGARICA.2021.51.4.264
Authors:
Pálinkás Attila1, Ruzsa Zoltán2, Kákonyi Kornél Manó2, Molnár Dorottya1, ifj. Csanády Miklós1, Pálinkás Eszter Dalma2, Ungi Imre2
1Csongrád-Csanád Megyei Egészségügyi Ellátó Központ, Hódmezővásárhely-Makó, Belgyógyászati Osztály, Hódmezővásárhely
2Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ, Belgyógyászati Klinika, Szeged
Summary
We report a case of a 59 years old male patient who reported chronic effort chest pain. Transthoracic Doppler echocardiography (TTDE) presented normal left ventricular systolic function with retrograde coronary artery blood flow in the distal and middle part of the left anterior descending artery (LAD). On the basis of findings of TTDE, we suspected chronic total occlusion (CTO) of the LAD, which was confirmed by invasive coronary angiography.
The LAD CTO was successfully opened by a catheter-based intervention. After the percutaneous coronary intervention, the patient became completely free of symptoms. The repeated TTDE study showed the cessation of reverse coronary blood flow and the return of the physiological antegrade flow in the LAD.
ISSUE: CARDIOLOGIA HUNGARICA | 2021 | VOLUME 51, ISSUE 4
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