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

Int Med Case Rep J. 2020 Nov 12:13:623-629. doi: 10.2147/IMCRJ.S279824. eCollection 2020.

Abstract

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: CTO; HIV; LMCA; LMD; chronic total occlusion; human immunodeficiency virus; left main coronary artery; left main disease.

Publication types

  • Case Reports

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