TY - JOUR
T1 - Left main coronary artery atresia diagnosed by multidetector computed tomography
AU - Saito, Takahiko
AU - Motohashi, Masatoshi
AU - Matsushima, Shouji
AU - Saito, Naotaka
AU - Kubota, Takehiro
AU - Tasai, Kimitaka
AU - Asajima, Hiroshi
PY - 2009/6/12
Y1 - 2009/6/12
N2 - Left main coronary artery atresia is an extremely rare disease. Differential diagnosis of left main coronary artery atresia from atherosclerotic occlusion of left main coronary artery is difficult even if performing invasive coronary angiography. We present a case of a 48-year-old male with left main coronary artery atresia. Echocardiography showed left ventricular dysfunction. Invasive coronary angiography showed absence of left main coronary artery. A multidetector computed tomography showed a string-like structure at the site of left main coronary artery. A diagnosis of left main coronary artery atresia was made, and he underwent coronary artery bypass grafting. At the operation, a thin and not-sclerotic left main coronary artery was observed. Echocardiography, performed after the surgery, showed normalization of the left ventricular systolic function. Multidetector computed tomography might be a useful method to diagnose left main coronary artery atresia.
AB - Left main coronary artery atresia is an extremely rare disease. Differential diagnosis of left main coronary artery atresia from atherosclerotic occlusion of left main coronary artery is difficult even if performing invasive coronary angiography. We present a case of a 48-year-old male with left main coronary artery atresia. Echocardiography showed left ventricular dysfunction. Invasive coronary angiography showed absence of left main coronary artery. A multidetector computed tomography showed a string-like structure at the site of left main coronary artery. A diagnosis of left main coronary artery atresia was made, and he underwent coronary artery bypass grafting. At the operation, a thin and not-sclerotic left main coronary artery was observed. Echocardiography, performed after the surgery, showed normalization of the left ventricular systolic function. Multidetector computed tomography might be a useful method to diagnose left main coronary artery atresia.
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U2 - 10.1016/j.ijcard.2008.03.068
DO - 10.1016/j.ijcard.2008.03.068
M3 - Article
C2 - 18590934
AN - SCOPUS:67349283372
SN - 0167-5273
VL - 135
SP - e27-e29
JO - International Journal of Cardiology
JF - International Journal of Cardiology
IS - 1
ER -