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September 2008 Br J Cardiol 2008;15:269-70

Occlusion of left main coronary artery diagnosed by computed tomography of the chest

Scot Garg, Christos Bourantas, Simon Thackray, Farqad Alamgir

Abstract

Figure 1. Computed tomography (CT) scan of the chest showing normal contrast filling of the right coronary artery (panel A), and absence of contrast within the left main coronary artery (panels B and C) A computed tomography (CT) scan of the chest excluded a pulmonary embolism and aortic dissection, and, although not a dedicated cardiac CT, suggested an occlusion of the left main coronary artery (LMCA) (figure 1). Echocardiography showed impaired left ventricular function with an akinetic anterior, inferior and lateral wall. An intra-aortic balloon pump (IABP) was inserted and coronary angiography was performed, which confirmed an occlusion o

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