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Hypoplastic Left Circumflex Coronary Artery: Imaging Findings with Coronary Computed Tomography Angiography - A Case

Asli Tanrivermis Sayit1, Cetin Celenk1

  • 1Department of Radiology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.

Current Medical Imaging Reviews
|January 29, 2020
PubMed

Insights

Hypoplastic coronary artery disease (HCAD) is a rare congenital condition. This case highlights diagnosis via coronary CT angiography in a 39-year-old male presenting with palpitations.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Medical Imaging

Background:

  • Hypoplastic coronary artery disease (HCAD) is a rare congenital coronary anomaly.
  • Its true incidence in the general population remains unknown.
  • Often diagnosed incidentally.

Observation:

  • A 39-year-old male presented with palpitations.
  • Coronary Computed Tomography (CT) angiography was utilized for diagnosis.
  • Isolated hypoplasia of the left circumflex artery was identified.

Findings:

  • CT angiography successfully detected isolated left circumflex artery hypoplasia.
  • This imaging modality is effective for diagnosing rare coronary anomalies.
  • The patient's symptom of palpitation was linked to the anomaly.

Implications:

  • Early diagnosis of HCAD can prevent serious complications like sudden cardiac death.
  • CT angiography offers a non-invasive method for identifying coronary artery anomalies.
  • Increased awareness may lead to earlier detection and management of HCAD.
Abstract

Keywords:
Hypoplastic coronary arterycongenital anomaliescoronary computed tomography angiographyhypoplasialeft circumflex arterymyocardial infarction

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