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Ann Thorac Surg 1993;55:1564-1565
© 1993 The Society of Thoracic Surgeons

Articles

Isolated congenital atresia of the left main coronary artery and atherosclerosis

Probal K. Ghosh, FRCSEd*, Menachem Friedman, MD, Bernardo A. Vidne, MD

Department of Cardiothoracic Surgery, Beilinson Medical Center, Pelach Tikva, Israel

Accepted for publication July 23, 1992.

* Address reprint requests to Dr Ghosh, Department of Cardiothoracic Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Rd, Lucknow 226001, India.

Successful surgical revascularization in an adult with isolated congenital atresia of the left main coronary artery; with coexistent two-vessel atherosclerosis is described. This extremely rare anomaly must be differentiated from single right coronary artery and acquired occlusion of the left main coronary artery. Symptomatic myocardial ischemia in patients surviving to adulthood is an indication for surgical revascularization in them.




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