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.
10.4070/kcj.2003.33.5.435
- Author:
Sang Hoon LEE
1
;
Suk JEON
;
Yeon A LEE
;
Jae Young JANG
;
Hye Sook CHOI
;
Heon Sook KIM
;
Seung Muk JUNG
;
Rack Kyoung CHOI
;
Dal Soo LIM
;
Suk Keun HONG
;
Hweung Kon HWANG
;
Tae Hoon KIM
;
Yang Min KIM
Author Information
1. Department of Internal Medicine, Kyung Hee University Medical School, Seoul, Korea. h_k_hwang@hotmail.net
- Publication Type:Case Report
- Keywords:
Coronary stenosis;
Magnetic resonance imaging;
Acute angle take-off
- MeSH:
Adult;
Angioplasty;
Chest Pain;
Constriction, Pathologic*;
Coronary Sinus*;
Coronary Stenosis;
Coronary Vessels;
Female;
Humans;
Magnetic Resonance Imaging*;
Pericardium
- From:Korean Circulation Journal
2003;33(5):435-438
- CountryRepublic of Korea
- Language:Korean
-
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.
