European Journal of Cardio-Thoracic Surgery, Vol 4, 169-170, Copyright © 1990 by European Association for Cardio-thoracic Surgery
Isolated atresia of the left main coronary artery in an adult
L Beretta, M Lemma and C Santoli
Department of Thoracic and Cardiovascular Surgery, Hospital L. Sacco, Milano, Italy.
A 49-year-old woman with isolated atresia of the left main coronary artery
is presented. The patient who suffered from angina underwent myocardial
revascularization 14 years after the onset of symptoms. A left internal
mammary artery to left anterior descending coronary artery bypass was
performed. Twenty months after the operation, the patient is free from
angina and leads a normal life. The clinical features, diagnosis and
management of the left main coronary atresia in adults are discussed.