title: Left Main Coronary Artery Hypoplasia in Elderly.
abstract: Congenital anomalies of the coronary artery causing coronary occlusive disease may be of many different types. A 67-year-old woman with no coronary risk factors was referred for coronary angiography with few months' history of angina. The patient underwent coronary angiography due to ischemic cardiac symptoms with nondiagnostic exercising test. In coronary angiography, the left main coronary artery was arising from normal anatomical position; however, left anterior descending artery and circumflex artery were hypoplastic. The treatment of patient was discussed in cardiology-cardiovascular surgery council and coronary surgery was found inappropriate due to the hypoplasia of the left coronary system entirely.
authors.affiliation: Department of Cardiology, Bursa State Hospital, Bursa, Turkey.
authors.forename: Selma
authors.initials: S
authors.lastname: Kenar Tiryakioglu
authors.affiliation: Department of Cardiology, Bahcesehir University, Çırağan Caddesi, Osmanpaşa Mektebi Sokak, No. 4-6, Beşiktaş, 34353 Istanbul, Turkey.
authors.forename: Hakan
authors.identifier: 0000-0002-4887-5397
authors.initials: H
authors.lastname: Ozkan
authors.affiliation: Department of Cardiology, Bursa State Hospital, Bursa, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Bahadir
authors.affiliation: Department of Cardiovascular Surgery, Bahcesehir University, Çırağan Caddesi, Osmanpaşa Mektebi Sokak, No. 4-6, Beşiktaş, 34353 Istanbul, Turkey.
authors.forename: Osman
authors.identifier: 0000-0001-8312-2465
authors.initials: O
authors.lastname: Tiryakioglu