An Unusual Culprit: Syncope in an Adolescent With Congenital Left Main Coronary Artery Atresia

Charlie J Sang 3rd; Audrey Khoury; Michael Yeung; Thomas G Caranasos; Elman G Frantz

doi:10.1177/21501351241263819

An Unusual Culprit: Syncope in an Adolescent With Congenital Left Main Coronary Artery Atresia

World J Pediatr Congenit Heart Surg. 2024 Nov;15(6):851-855. doi: 10.1177/21501351241263819. Epub 2024 Sep 19.

Authors

Charlie J Sang 3rd¹, Audrey Khoury², Michael Yeung¹, Thomas G Caranasos², Elman G Frantz³

Affiliations

¹ Division of Cardiology, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
² Division of Cardiothoracic Surgery, Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
³ Division of Pediatric Cardiology, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Abstract

There are fewer than 100 reported cases of congenital left main coronary artery atresia. In this report, we present an adolescent male presenting with exertional syncope in the setting of this rare coronary defect, and review important diagnostic and therapeutic considerations imperative to obtain a favorable outcome.

Publication types

Case Reports

MeSH terms

Adolescent
Coronary Angiography*
Coronary Vessel Anomalies* / complications
Coronary Vessel Anomalies* / diagnosis
Coronary Vessel Anomalies* / surgery
Coronary Vessels / diagnostic imaging
Coronary Vessels / surgery
Humans
Male
Syncope* / etiology