A Case of Isolated Left Main Coronary Ostial Stenosis Due to Acute Angle Take-off with Clockwise Rotation of Coronary Sinus confirmed by MRI Image
Korean Circulation Journal
;
: 435-438, 2003.
Article
in Korean
| WPRIM
| ID: wpr-49599
ABSTRACT
Isolated left main coronary ostial stenosis is a very rare condition. In the majority of cases there are coexisting diseases in multiple coronary vessels. Here, a case of isolated left main coronary ostial stenosis due to an acute angle take-off, with clockwise rotation of the coronary sinus, confirmed by cardiac MRI is presented. A 44-year old female patient presented with an exertional and stabbing anterior chest pain. The patient had no premedical history. A coronary angiogram showed an isolated left main coronary ostial stenosis due to an acute take-off of the left main coronary artery. A cardiac MRI showed an acute angle take-off of the left main coronary artery, with clockwise rotation of the coronary sinus. The patient underwent surgical angioplasty of the coronary ostia, with a patch of autologous pericardium. This acute angle take-off may be due to rotation of the coronary sinus.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pericardium
/
Chest Pain
/
Magnetic Resonance Imaging
/
Angioplasty
/
Constriction, Pathologic
/
Coronary Vessels
/
Coronary Stenosis
/
Coronary Sinus
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
Korean Circulation Journal
Year:
2003
Type:
Article
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