Atypical presentation of critical left main disease in an HIV-infected patient

Abstract

Rajeev Seecheran,1 Valmiki Seecheran,2 Sangeeta Persad,2 Taarik Dookie,3 Naveen Anand Seecheran1 1Department of Clinical Medical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago; 2Cardiovascular Services Division, North West Regional Health Authority, Mt. Hope, Trinidad and Tobago; 3Cardiology Unit, Advanced Cardiovascular Institute, Port of Spain, Trinidad and Tobago Abstract: Coronary artery disease is currently one of the leading causes of mortality in patients with HIV. Severe left main disease (LMD) occurs in ~6% of the HIV-infected patients. We describe a case report of an atypical presentation of silent critical LMD in an HIV-infected patient who underwent a low-risk exercise stress test. The cardiovascular disease team should be vigilant for this latent phenomenon, specifically within this subpopulation despite the high Duke treadmill score. Keywords: left main disease, left main lesion, left main stenosis, human immunodeficiency virus, HIV

Keywords

• left main disease
• left main lesion
• left main stenosis
• human immunodeficiency virus (HIV)