RP Wieman, D. Beelen, C. van der Zwaan, J. Lahpor, A.M. de Vos, P.A. Doevendans
Here we report unexpected findings in a 17-yearold female patient referred for coronary angiography and percutaneous intervention. During the angiography we observed a complete occlusion of the left main coronary artery (LMCA). The occurrence of coronary abnormalities at this age is extremely rare and mostly caused by congenital abnormalities. The diagnosis of premature atherosclerosis at this age is unlikely unless the patient suffers from severe lipoprotein disease. Here we describe a rare case of LMCA occlusion, the most likely cause of the disease and the potential implications for therapy. (Neth Heartj
emergency coronary angiography. One year before referral she was seen at the outpatient department of cardiology because of chest pain. At that time no abnormalities were observed on the ECG or during routine laboratory investigation (CRP
Adolescent with occluded left main coronary artery.
Here we report unexpected findings in a 17-year-old female patient referred for coronary angiography and percutaneous intervention. During the angiogr...