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Total Occlusion of Left Main Coronary Artery Trunk in a Young Man

Department of Cardiac Surgery Tianjin Chest Hospital Tianjin, People's Republic of China 1 Department of Cardiac Surgery Yamato Seiwa Hospital Kanagawa, Japan

For reprint information contact: Akihiro Nabuchi, MD Tel: 81 462 64 3911 Fax: 81 462 78 5787 email: nabuchi{at}swan.syscom.ne.jp Department of Cardiac Surgery, Yamato Seiwa Hospital, 9-8-2 Minami Rinkan, Yamato, Kanagawa 242-0006, Japan.

A 28-year-old male with total occlusion of the main trunk of the left coronary artery underwent successful coronary artery bypass surgery with bilateral internal mammary arteries. He did not have hypercholesterolemia and the ascending aorta, bilateral internal mammary arteries, and peripheral part of the left coronary artery were normal in character and size, which indicated that no systemic or inflammatory diseases caused the lesion. Smoking was the only risk factor identified.