OCCLUSION OF LEFT MAIN CORONARY-ARTERY WI TH SILENT ISCHEMIA AND SYNCOPE

Mortality in the total occlusion of the left main coronary artery is v ery high, and the few cases who lived reported were very ill and sympt omatic patients. We present a case with angiographic documentation of total occlusion of the left main coronary artery in a patient without angina and with a normal rest electrocardiogram in which a syncope was the only symptom. Severe isolated silent ischemia was induced during an exercise test. Total occlusion of the left main coronary artery ass ociated to silent myocardial ischemia without cardiac failure has neve r been previously reported.