Congenital atresia of left main coronary artery: proposed mechanism for severe disabling angina in a patient with non-atherosclerotic single right coronary artery--a case report.
A patient with progressive disabling angina was found to have a single right coronary artery with atresia of the left main coronary artery, and absence of any obstructive coronary disease. The patient required aortocoronary by-pass surgical reconstruction of a left main coronary artery to control her angina. Possible mechanisms for the development of her anginal pain are briefly discussed.
Ruiz
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CE
Heart Institute, Hospital of The Good Samaritan, Loma Linda University, Los Angeles, CA 90017.
Lau
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FY
D000787:Angina Pectoris / Q000209:etiology*; D002304:Cardiac Pacing, Artificial; D002932:Cineangiography; D003097:Collateral Circulation / Q000502:physiology; D001026:Coronary Artery Bypass; D003326:Coronary Circulation / Q000502:physiology; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D011877:Radionuclide Imaging; D012501:Saphenous Vein / Q000637:transplantation