Left main coronary artery atresia: Extremely rare coronary anomaly in an asymptomatic adult and an adolescent soccer player

Dan Elian, Julius Hegesh, Oren Agranat, Victor Guetta, Yedael Har-Zahav, Shmuel Rath, Pierre Chouraqui, Elio Di Segni

Research output: Contribution to journalArticlepeer-review

Abstract

Left main coronary artery atresia is a very rare coronary anomaly with only 33 cases reported in the literature, of whom only 1 patient is asymptomatic. Pediatric patients are usually very symptomatic early in life (dyspnea, syncope, failure to thrive, ventricular tachycardia, and sudden death), whereas adult patients begin showing symptoms (angina or sudden death) only at an advanced age. Given the high risk related to the presence of left main coronary artery atresia, and in view of the good results obtained by coronary artery bypass surgery, coronary artery revascularization should always be considered as the possible treatment of choice for establishing adequate myocardial blood flow.

Original languageEnglish
Pages (from-to)160-162
Number of pages3
JournalCardiology in Review
Volume11
Issue number3
DOIs
StatePublished - May 2003

Keywords

  • CABG
  • Congenital ostial stenosis
  • Coronary anomaly

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