International Medical Case Reports Journal (Nov 2020)

Chronic Total Occlusion of the Left Main Coronary Artery in an HIV-Infected Patient

  • Seecheran R,
  • Kawall T,
  • Seecheran V,
  • Persad S,
  • Kanhai J,
  • Jagdeo CL,
  • Giddings S,
  • Raza S,
  • Seecheran NA

Journal volume & issue
Vol. Volume 13
pp. 623 – 629

Abstract

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Rajeev Seecheran,1 Tiffany Kawall,1 Valmiki Seecheran,1 Sangeeta Persad,1 Joel Kanhai,2 Cathy-Lee Jagdeo,1 Stanley Giddings,3 Sadi Raza,4 Naveen Anand Seecheran3 1Department of Medicine, North Central Regional Health Authority, Mt. Hope, Trinidad and Tobago; 2Cardiology Unit, Advanced Cardiovascular Institute, Port of Spain, Trinidad and Tobago; 3Department of Clinical Medical Sciences, Faculty of Medical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago; 4Department of Cardiovascular Services, HeartPlace Dallas, Dallas, TX, USACorrespondence: Naveen Anand SeecheranDepartment of Clinical Medical Sciences, Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad, Trinidad and TobagoTel +868 663-4332Email [email protected]: Coronary artery disease (CAD) is amongst the leading causes of death in human immunodeficiency virus (HIV)-infected persons. Severe left main disease (LMD) occurs in approximately five percent of HIV-infected patients, with chronic total occlusion (CTO) of this vessel being an even rarer phenomenon. We describe a non-adherent HIV-infected patient with a left main coronary artery (LMCA) CTO that presented with heart failure with mildly reduced ejection fraction (HFrEF) and ventricular tachycardia (VT).Keywords: left main coronary artery, LMCA, left main disease, LMD, chronic total occlusion, CTO, human immunodeficiency virus, HIV

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