Incidental finding and conservative management of left main coronary atresia in an adult patient: a case report.

ABSTRACT:

Background

Left main (LM) coronary atresia (LMCA) is a rare coronary anomaly where the LM is congenitally absent and a variable clinical spectrum can follow. The diagnosis of LMCA is generally made in youth because of the development of symptoms, but very rarely in adulthood. In symptomatic patients, surgical revascularization is recommended, whereas, in asymptomatic patients with LMCA and without inducible myocardial ischaemia, preventive surgical treatment is controversial.

Case summary

A 58-year-old male patient with aortic ectasia detected during an echocardiogram performed to evaluate a hypertension-related preclinical cardiac damage and, due to this finding, an echocardiographic follow-up was suggested. Three years later, he was admitted to undergo coronary angiography

SUBMITTER: Talanas G 

PROVIDER: S-EPMC7954245 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature