Abstract
We report a 65-year-old woman with congenital left main coronary artery atresia detected by coronary angiography and 320-slice multidetector computed tomography. The patient was hospitalized with congestive heart failure and treated by medical therapy conservatively. Surgical revascularization of the left coronary artery was not performed since stress myocardial perfusion scintigraphy revealed no clear evidence of myocardial ischemia. Recently, there are many patients with congenital coronary artery anomalies detected by multidetector computed tomography. However, the adult case of left main coronary artery atresia is extremely rare. In this case, 320-slice multidetector computed tomography played a pivotal role in the diagnosis of the extremely rare coronary artery anomaly.
References
Shen TC, Chou HH, Tsai KT. Ectopic and atretic ostium of left main coronary artery: from interleaflet triangle between left and noncoronary cusps. Tex Heart Inst J. 2012;39:60–2.
Duarte R, Costa JC, Fernandez G. Left main coronary artery atresia diagnosed with 128-MDCT. Heart Lung Circ. 2010;19:96.
Chou HH, Chan CH, Tsai KT, Chang CI, Ko YL. Congenital atresia of the left main coronary artery associated with patent ductus arteriosus and aortic regurgitation. Circ J. 2009;73:1163–6.
Levisman J, Budoff M, Karlsberg R. Congenital atresia of the left main coronary artery: cardiac CT. Catheter Cardiovasc Interv. 2009;74:465–7.
Saito T, Motohashi M, Matsushima S, et al. Left main coronary artery atresia diagnosed by multidetector computed tomography. Int J Cardiol. 2009;135:e27–9.
Nicol ED, Lyne J, Rubens MB, Padley SP, Yen Ho S. Left main coronary atresia: a more commonly identified condition after the advent of 64-slice CT coronary angiography? J Nucl Cardiol. 2007;14:715–8.
Nishida N, Chiba T, Ohtani M, Yoshioka N. Two adult cases of congenital atresia of the left coronary ostium-comparison of a sudden death case with a long-term survival case. Virchows Arch. 2005;447:742–6.
Elian D, Hegesh J, Agranat O, et al. Left main coronary artery atresia: extremely rare coronary anomaly in an asymptomatic adult and an adolescent soccer player. Cardiol Rev. 2003;11:160–2.
Musiani A, Cernigliaro C, Sansa M, Maselli D, De Gasperis C. Left main coronary artery atresia: literature review and therapeutical considerations. Eur J Cardiothorac Surg. 1997;11:505–14.
Gerlis LM, Magee AG, Sheppard MN. Congenital atresia of the orifice of the left coronary artery. Cardiol Young. 2002;12:57–62.
Koh E, Nakagawa M, Hamaoka K, Sawada T, Oga K. Congenital atresia of the left coronary ostium: diagnosis and surgical treatment. Pediatr Cardiol. 1989;10:159–62.
Gebauer R, Cerny S, Vojtovic P, Tax P. Congenital atresia of the left coronary artery—myocardial revascularization in two children. Interact Cardiovasc Thorac Surg. 2008;7:1174–5.
Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn. 1990;21:28–40.
Numasawa Y, Kawamura A, Hashimoto S, et al. Successful percutaneous coil embolization of coronary-pulmonary, -carotid, and -internal mammary artery fistulas. Heart Vessels 2012;27(3):331–6. doi:10.1007/s00380-011-0172-y.
Yumoto K, Aoki H, Shirai Y, Shinoda Y, Kato K. Successful coronary stenting in anomalous right coronary artery by using an inner catheter with mother and child technique under multislice CT guidance. Cardiovasc Interv Ther. 2013;28:106–10.
Datta J, White CS, Gilkeson RC, et al. Anomalous coronary arteries in adults: depiction at multi-detector row CT angiography. Radiology. 2005;235:812–8.
Motoyama S, Sarai M, Narula J, Ozaki Y. Coronary CT angiography and high-risk plaque morphology. Cardiovasc Interv Ther. 2013;28:1–8.
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Numasawa, Y., Motoda, H., Yamazaki, H. et al. A rare adult case of left main coronary artery atresia. Cardiovasc Interv and Ther 28, 313–317 (2013). https://doi.org/10.1007/s12928-013-0168-x
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DOI: https://doi.org/10.1007/s12928-013-0168-x