Korean Circ J.  2001 Apr;31(4):442-442. 10.4070/kcj.2001.31.4.442.

A Case of Isolated Left Main Coronary Ostial Stenosis due to Acute Angle Takeoff

• Jeong WJ
• Hwang HK
• Lee CK
• Kang IK
• Sohn IS
• Soh JE
• Lim DS

• KMID: 2227309
• DOI: http://doi.org/10.4070/kcj.2001.31.4.442

Abstract

Isolated and severe left main coronary ostial stenosis is a rare case. In the majority of these patients ostial stenosis was associated with any of the conditions known to involve the coronary ostia. These conditions include syphilitic aortitis, Takayasu's aortitis, familial hypercholesterolemia, and aortic valve disease. A 34-year young female patient was presented with exertional and stabbing anterior chest pain. There was no history of syphilis, diabetes mellitus, hypertension, hyperlipidemia and smoking. Coronary angiogram showed isolated left main coronary ostial stenosis. Transesophageal echocardiography(TEE) showed acute angle takeoff of the left main coronary artery. She underwent surgical angioplasty of coronary ostia with a patch of autologous pericardium. After angioplasty, TEE showed dilatation of left main coronary ostium and her clinical symptom improved.

MeSH Terms

Angioplasty
Aortic Valve
Aortitis
Chest Pain
Constriction, Pathologic*
Coronary Vessels
Diabetes Mellitus
Dilatation
Female
Humans
Hyperlipidemias
Hyperlipoproteinemia Type II
Hypertension
Pericardium
Smoke
Smoking
Syphilis
Syphilis, Cardiovascular
Smoke