An extraordinary cause of ischemic chest pain in a young man: Congenital ostial atresia of the right coronary artery

Karadag B., Ayan F., Ismailoglu Z., Goksedef D., Ataev Y., Vural M.

JOURNAL OF CARDIOLOGY, cilt.54, sa.2, ss.335-338, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 54 Sayı: 2
  • Basım Tarihi: 2009
  • Doi Numarası: 10.1016/j.jjcc.2009.01.008
  • Dergi Adı: JOURNAL OF CARDIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.335-338
  • İstanbul Üniversitesi Adresli: Evet

Özet

Chest pain in a young person without cardiovascular risk factors is usually attributed to noncoronary causes; however, if the history suggests ischemic pain, the potential presence of unusual cardiovascular abnormalities should not be disregarded. The present case describes a young man with solitary congenital ostial atresia of right coronary artery, who to our knowledge is only the second case in the medical literature. Manifestation of ischemic symptoms in a relatively advanced age in patients with coronary artery atresia may mislead clinicians to interpret them as signs of atherosclerotic coronary artery disease. Therefore congenital coronary artery atresia should be a part of the differential diagnosis particularly in young patients with ischemic symptoms and no cardiovascular risk factors. (C) 2009 Japanese College of Cardiology. Published by Elsevier Ireland Ltd. All rights reserved.