Abstract

A 62-YEAR-OLD, 129-kg, 177-cm man was admitted to the authors' institution for the evaluation of progressive chest tightness and dyspnea on exertion. A persantine-thallium stress test revealed a reversible perfusion defect in the left ventricular anterior wall. Coronary angiography showed the presence of a complete occlusion of the proximal left anterior descending coronary artery with extensive collateralization of the central ischemic region provided by branches of the left circumflex coronary artery.

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