True congenital atresia of the left main coronary ostium: delayed presentation-Reference-Cited by-同舟云学术

True congenital atresia of the left main coronary ostium: delayed presentation

Published:2017-10-23 Issue:1 Volume:26 Page:54-56
ISSN:0218-4923
Container-title:Asian Cardiovascular and Thoracic Annals
language:en
Short-container-title:Asian Cardiovasc Thorac Ann

Author:

Raju Varadaraju¹,Hebbale Ramesh Chandrashekar¹,Muniswamy Chandra Sena¹,Sivanna Umesh²,Rangaiah Sunil Kumar Kondethimmanahally³

Affiliation:

1. Department of Cardiothoracic and Vascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India

2. Department of Cardiac Anesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India

3. Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India

Abstract

Congenital atresia of the left main coronary ostium is a rare coronary anomaly presenting in adulthood. A 48-year-old man presented with unstable angina. Coronary angiography showed an absent left coronary ostium with a super-dominant right coronary artery retrogradely filling the left system. Computed tomography-angiography with 3-dimensional reconstruction confirmed the absence of the left main coronary artery. In view of ongoing chest pain, the patient was offered coronary artery bypass surgery. Total arterial revascularization was performed with a left internal mammary artery-left radial artery Y-graft.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,General Medicine,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1177/0218492317739473

Reference8 articles.

1. Left Main Coronary Atresia

2. Left main coronary artery atresia: literature review and therapeutical considerations

3. Congenital atresia of the left main coronary artery in an adult: A rare anomaly with an unfavorable prognosis. Review of the literature

4. Developmental Progression of the Coronary Vasculature in Human Embryos and Fetuses

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