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

作者: DAN ELIAN , JULIUS HEGESH , OREN AGRANAT , VICTOR GUETTA , YEDAEL HAR-ZAHAV

DOI: 10.1097/01.CRD.0000064423.27902.BB

关键词:

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

参考文章(14)
Eliot R. Rosenkranz, Daniel J. Murphy, Delos M. Cosgrove, Surgical management of left coronary artery ostial atresia and supravalvar aortic stenosis The Annals of Thoracic Surgery. ,vol. 54, pp. 779- 781 ,(1992) , 10.1016/0003-4975(92)91031-4
B. A. Vidne, M. Nili, M. Aygen, M. J. Levy, Congenital Atresia of the Left Main Coronary Artery Ostium Scandinavian Cardiovascular Journal. ,vol. 13, pp. 37- 40 ,(1979) , 10.3109/14017437909101784
Constantine Mavroudis, Carl L. Backer, Alexander J. Muster, Elfriede Pahl, John H. Sanders, Vincent R. Zales, Melanie Gevitz, Expanding indications for pediatric coronary artery bypass The Journal of Thoracic and Cardiovascular Surgery. ,vol. 111, pp. 181- 189 ,(1996) , 10.1016/S0022-5223(96)70415-4
K. Leitz, H. Oster, J. Keutel, Use of the Left Infernal Thoracic Artery to Correct a Left Main Coronary Atresia Thoracic and Cardiovascular Surgeon. ,vol. 35, pp. 345- 347 ,(1987) , 10.1055/S-2007-1020260
Nicholas J. Fortuin, William C. Roberts, Congenital atresia of the left main coronary artery The American Journal of Medicine. ,vol. 50, pp. 385- 389 ,(1971) , 10.1016/0002-9343(71)90227-0
L G van der Hauwaert, M Dumoulin, P Moerman, Congenital atresia of left coronary ostium. Heart. ,vol. 48, pp. 298- 300 ,(1982) , 10.1136/HRT.48.3.298
Probal K. Ghosh, Menachem Friedman, Bernardo A. Vidne, Isolated congenital atresia of the left main coronary artery and atherosclerosis The Annals of Thoracic Surgery. ,vol. 55, pp. 1564- 1565 ,(1993) , 10.1016/0003-4975(93)91112-Z
D C Levin, K E Fellows, H L Abrams, Hemodynamically significant primary anomalies of the coronary arteries. Angiographic aspects. Circulation. ,vol. 58, pp. 25- 34 ,(1978) , 10.1161/01.CIR.58.1.25