Extraordinary cause of ischemic chest pain in a young man: congenital ostial atresia of the right coronary artery.
Chest pain in a young person without cardiovascular risk factors is usually attributed to noncoronary causes; however, if the history suggests ischemic pain, the potential presence of unusual cardiovascular abnormalities should not be disregarded. The present case describes a young man with solitary congenital ostial atresia of right coronary artery, who to our knowledge is only the second case in the medical literature. Manifestation of ischemic symptoms in a relatively advanced age in patients with coronary artery atresia may mislead clinicians to interpret them as signs of atherosclerotic coronary artery disease. Therefore congenital coronary artery atresia should be a part of the differential diagnosis particularly in young patients with ischemic symptoms and no cardiovascular risk factors.
Karadag
Bilgehan
B
Istanbul University, Department of Cardiology, Cerrahpasa School of Medicine, Istanbul, Turkey. karadag@istanbul.edu.tr
Ayan
Faruk
F
Ismailoglu
Ziya
Z
Goksedef
Deniz
D
Ataev
Yusup
Y
Vural
Vural Ali
VA
D000328:Adult; D002637:Chest Pain / Q000209:etiology*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed