Does collateral circulation protect against acute myocardial infarction? Two hemodynamically important collateral circulation examples: Case report


Bostan M., ŞATIROĞLU Ö., MUNGAN U., Çanga A., Bozkurt E.

Turkiye Klinikleri Cardiovascular Sciences, vol.23, no.3, pp.256-259, 2011 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 3
  • Publication Date: 2011
  • Journal Name: Turkiye Klinikleri Cardiovascular Sciences
  • Journal Indexes: Scopus
  • Page Numbers: pp.256-259
  • Keywords: Acute coronary syndrome, Collateral circulation, Coronary angiography
  • Lokman Hekim University Affiliated: No

Abstract

Coronary collateral vessels interconnect the major coronary arteries. They are small in (<200 μm) caliber. Collateral channels can not be seen in patients with normal or mildly diseased coronary arteries. The coronary collateral circulation is a complementary source of blood supply to myocardium jeopardized by stenosis of a coronary vessel. If they are adequate size, collaterals may protect against myocardial infarction in cases of total occlusion. The myocardial infarct size is smaller in patients with abundant collateral vessels than in patients without collaterals. Therefore total occlusion of a major epicardial artery may not lead to left ventricule dysfunction. Presented cases are important examples that the myocardium was protected against left ventricule dysfunction owing to total occlusion of one or more major coronary arteries. Copyright © 2011 by Türkiye Klinikleri.