Atresia of the left main coronary artery: Clinical recognition and surgical treatment

F. Bedogni, A. Castellani, L. La Vecchia, L. Menicanti, G. Finocchi, V. Dor, M. Vincenzi

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Atresia of the left main coronary artery is an extremely rare anomaly with very few cases presented in the literature. Even more uncommon are reports of successful surgical repair. This article concerns two cases of atresia of the left main coronary artery treated surgically with a favourable outcome. The two patients (a 16 year-old boy and a 43 year-old woman) had a different clinical presentation but identical angiographic and morphologic features. The authors examine the embryogenetic defect underlying this anomaly. The differential diagnosis involves two congenital malformations (single coronary artery and anomalous origin of the left coronary artery from the pulmonary trunk) and acquired atherosclerotic disease of the left main coronary artery; the distinguishing features of these conditions are reviewed. Surgical management by means of internal mammary artery revascularization is discussed in light of recent reports about adequacy of blood flow in internal mammary artery bypass grafts.

Original languageEnglish
Pages (from-to)35-41
Number of pages7
JournalCatheterization and Cardiovascular Diagnosis
Volume25
Issue number1
Publication statusPublished - 1992

Fingerprint

Coronary Vessels
Mammary Arteries
Therapeutics
Differential Diagnosis
Transplants
Lung

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Atresia of the left main coronary artery : Clinical recognition and surgical treatment. / Bedogni, F.; Castellani, A.; La Vecchia, L.; Menicanti, L.; Finocchi, G.; Dor, V.; Vincenzi, M.

In: Catheterization and Cardiovascular Diagnosis, Vol. 25, No. 1, 1992, p. 35-41.

Research output: Contribution to journalArticle

Bedogni, F, Castellani, A, La Vecchia, L, Menicanti, L, Finocchi, G, Dor, V & Vincenzi, M 1992, 'Atresia of the left main coronary artery: Clinical recognition and surgical treatment', Catheterization and Cardiovascular Diagnosis, vol. 25, no. 1, pp. 35-41.
Bedogni, F. ; Castellani, A. ; La Vecchia, L. ; Menicanti, L. ; Finocchi, G. ; Dor, V. ; Vincenzi, M. / Atresia of the left main coronary artery : Clinical recognition and surgical treatment. In: Catheterization and Cardiovascular Diagnosis. 1992 ; Vol. 25, No. 1. pp. 35-41.
@article{8932336ad09a4074aa8c329e427d5960,
title = "Atresia of the left main coronary artery: Clinical recognition and surgical treatment",
abstract = "Atresia of the left main coronary artery is an extremely rare anomaly with very few cases presented in the literature. Even more uncommon are reports of successful surgical repair. This article concerns two cases of atresia of the left main coronary artery treated surgically with a favourable outcome. The two patients (a 16 year-old boy and a 43 year-old woman) had a different clinical presentation but identical angiographic and morphologic features. The authors examine the embryogenetic defect underlying this anomaly. The differential diagnosis involves two congenital malformations (single coronary artery and anomalous origin of the left coronary artery from the pulmonary trunk) and acquired atherosclerotic disease of the left main coronary artery; the distinguishing features of these conditions are reviewed. Surgical management by means of internal mammary artery revascularization is discussed in light of recent reports about adequacy of blood flow in internal mammary artery bypass grafts.",
author = "F. Bedogni and A. Castellani and {La Vecchia}, L. and L. Menicanti and G. Finocchi and V. Dor and M. Vincenzi",
year = "1992",
language = "English",
volume = "25",
pages = "35--41",
journal = "Catheterization and Cardiovascular Diagnosis",
issn = "0098-6569",
publisher = "John Wiley and Sons Inc.",
number = "1",

}

TY - JOUR

T1 - Atresia of the left main coronary artery

T2 - Clinical recognition and surgical treatment

AU - Bedogni, F.

AU - Castellani, A.

AU - La Vecchia, L.

AU - Menicanti, L.

AU - Finocchi, G.

AU - Dor, V.

AU - Vincenzi, M.

PY - 1992

Y1 - 1992

N2 - Atresia of the left main coronary artery is an extremely rare anomaly with very few cases presented in the literature. Even more uncommon are reports of successful surgical repair. This article concerns two cases of atresia of the left main coronary artery treated surgically with a favourable outcome. The two patients (a 16 year-old boy and a 43 year-old woman) had a different clinical presentation but identical angiographic and morphologic features. The authors examine the embryogenetic defect underlying this anomaly. The differential diagnosis involves two congenital malformations (single coronary artery and anomalous origin of the left coronary artery from the pulmonary trunk) and acquired atherosclerotic disease of the left main coronary artery; the distinguishing features of these conditions are reviewed. Surgical management by means of internal mammary artery revascularization is discussed in light of recent reports about adequacy of blood flow in internal mammary artery bypass grafts.

AB - Atresia of the left main coronary artery is an extremely rare anomaly with very few cases presented in the literature. Even more uncommon are reports of successful surgical repair. This article concerns two cases of atresia of the left main coronary artery treated surgically with a favourable outcome. The two patients (a 16 year-old boy and a 43 year-old woman) had a different clinical presentation but identical angiographic and morphologic features. The authors examine the embryogenetic defect underlying this anomaly. The differential diagnosis involves two congenital malformations (single coronary artery and anomalous origin of the left coronary artery from the pulmonary trunk) and acquired atherosclerotic disease of the left main coronary artery; the distinguishing features of these conditions are reviewed. Surgical management by means of internal mammary artery revascularization is discussed in light of recent reports about adequacy of blood flow in internal mammary artery bypass grafts.

UR - http://www.scopus.com/inward/record.url?scp=0026513142&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026513142&partnerID=8YFLogxK

M3 - Article

C2 - 1348211

AN - SCOPUS:0026513142

VL - 25

SP - 35

EP - 41

JO - Catheterization and Cardiovascular Diagnosis

JF - Catheterization and Cardiovascular Diagnosis

SN - 0098-6569

IS - 1

ER -