Abstract
The lesion of the trunk of the left coronary artery (TrLCA) is one of the most severe variants of coronary artery stenosis (CA). According to various data, such a lesion occurs in 15–30 patients who are candidates for coronary artery bypass surgery (CABG).
The most severe manifestation of myocardial ischemia is observed in stenos of the main trunk or of the left coronary artery. Such a defeat occurs according to various data, in 15–30 sick candidates for surgery. Two decades ago, the defeat of TrLCA was considered a significant risk factor for CABG, but recently it’s not considering as existing risk factor.
Presented herein Stenosis from 50–90% predominates among all TrLCA lesions, total TrLCA occlusion is hardly ever seen in with coronary disease. The fact of the matter is that with thrombosis TrLCA most patients die instantly or in a short period of time. Certain conditions are necessary for patients to survive.
The majority of TrLCA patients have a dominant type of right coronary blood supply. This is the case we will discuss in this article.
In current clinical case the surgical treatment of IHD of a patient with LCA barrel occlusion is described. It is noteworthy that the clinical picture of coronary insufficiency appeared afterwards the patient had suffered from SARS-Cov-2 (COVID-19). The patient underwent aortic bypass surgery, after which, on the 6th day after surgery, he was transferred to the rehabilitation service, with the subsequent release.
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About the authors
- Leo A. Bockeria, Academician of RAS, Dr. Med. Sci., Professor; ORCID
- Sergey A. Donakanyan, Dr. Med. Sci.; ORCID
- Timur V. Nazimov, Cardiovascular Surgeon; ORCID
- Rasul N. Aygumov, Cardiovascular Surgeon; ORCID
- Gevorg A. Boyajyan, Postgraduate; ORCID
