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Left main coronary block in a nineteen-year-old woman

A M Patwardhan1, S H Pantvaidya, D B Pahlajani

  • 1Lokmanya Tilak Municipal Medical College and Municipal General Hospital, Sion, Bombay 400 022, India.

Texas Heart Institute Journal
|June 1, 1985
PubMed

Insights

A young woman with a 4-year history of exertional angina had a severe blockage in her left main coronary artery. Surgical bypass grafting provided a successful long-term solution, resolving her symptoms.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Left main coronary artery disease (LMCD) is a critical condition.
  • Exertional angina can be a symptom of significant coronary artery obstruction.

Purpose of the Study:

  • To report a case of severe left main coronary artery stenosis in a young patient.
  • To highlight the successful surgical management of this condition.

Main Methods:

  • Diagnostic workup included exercise testing and selective coronary angiography.
  • Surgical intervention involved aortocoronary bypass grafting to the left anterior descending artery.

Main Results:

  • Coronary angiography revealed a 95% stenosis at the ostium of the left main coronary artery.
  • The patient remained asymptomatic 1 year and 10 months post-surgery.

Conclusions:

  • Aortocoronary bypass grafting is an effective treatment for severe left main coronary artery stenosis, even in young individuals.
  • Early diagnosis and surgical intervention can lead to excellent long-term outcomes.

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