Open Access<p>Chronic Total Occlusion of the Left Main Coronary Artery in an HIV-Infected Patient</p>
Author(s) -
Rajeev Seecheran,
Tiffany Kawall,
Valmiki Seecheran,
Sangeeta Persad,
J. Kanhai,
Cathy-Lee Jagdeo,
Stanley Giddings,
Sadi Raza,
Naveen Seecheran
Publication year - 2020
Publication title -
international medical case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.198
H-Index - 11
ISSN - 1179-142X
DOI - 10.2147/imcrj.s279824
Subject(s) - medicine , cardiology , coronary artery disease , ejection fraction , human immunodeficiency virus (hiv) , occlusion , artery , heart failure , left coronary artery , virology
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).