Vol 70, No 3 (2012)
Case studies
Published online: 2012-03-19
Left main coronary artery atresia
DOI: 10.33963/v.kp.78987
Kardiol Pol 2012;70(3):275-276.
Abstract
We present a report of an extremely rare case of left main coronary artery atresia in a 33 year-old male with severe symptoms
of angina pectoris and dyspnoea. During coronary angiography, the left coronary artery (LCA) ostium could not be catheterised.
The right coronary artery (RCA) was dilated, and the LCA was filling retrogradely via collateral vessels. The diagnosis
was confirmed by multislice computed tomography. Due to severe symptoms and the high risk of sudden cardiac death, the
patient was referred for coronary artery revascularisation. The left internal mammary artery was anastomosed to the left
anterior descending artery. The operation and subsequent 24 months follow-up were uneventful.
Keywords: left main coronary artery atresiacoronary artery anomaly