Urgent Angiography of LMCA Occlusion in a Young Man

Video Supplement to “A Unique Case Report of Complete Left Main Coronary Artery Occlusion in a 24-Year-Old Male,” by Heyworth, et al. (May 2020 Clinical Images).

We report the case of a 24-year-old male who presented to hospital following syncope with ECG changes and was found to have LMCA occlusion requiring emergent CABG. ECG showed diffuse ST depression across all leads, except aVR, for which there was ST elevation. Urgent coronary angiography, shown here, demonstrated occluded LMCA that filled retrogradely from the right coronary artery.

Read the accompanying article here