A young soldier with syncope, shortness of breath and palpitations.
BACKGROUND
Coronary artery disease in people under 30 years is relatively uncommon, but once a disease occurs it brings a significant morbidity and psychological effects.


METHODS
We reported a 28-year-old patient presenting atypical symptoms after sincopa and non-specific changes on electrocardiogram at admission. After noninvasive and invasive cardiology diagnostic procedures were made, we concluded that he had a subtotal tubular stenosis in proximal segment of the left anterior descending coronary artery. Myocardial revascularization was successfully performed 24-hour after coronarography with the left internal mammary thoracic artery graft on the left anterior descending coronary artery and the patient had a prompt and satisfactory postoperative recovery.


CONCLUSIONS
This case indicates the importance of a careful evaluation of young adults even if they do not experience typical anginal symptoms or do not have multiple risk factors for cardiovascular diseases.
Mladenović
Zorica
Z
Military Medical Academy, Clinic for Cardiology, Beograd, Srbija. zoz3377@gmail.com
Mijailović
Zdravko
Z
Tavaciovski
Dragan
D
Ilić
Radoje
R
Rusović
Sinisa
S
Trifunović
Zoran
Z
Matunović
Radomir
R
D000328:Adult; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008889:Military Personnel; D013575:Syncope / Q000209:etiology*; D013610:Tachycardia / Q000209:etiology*