A Resuscitated Adult With Left Main Coronary Artery Ostial Atresia and Graves’ Disease: 10-Year Follow-up

Masakazu Kobayashi; Yasuhiro Morita; Keizo Tanaka; Taishi Hirai; Yohei Takayama; Masahiro Muto; Hideki Ishii; Toyoaki Murohara; Hideo Izawa

doi:10.1016/j.cjco.2021.05.002

A Resuscitated Adult With Left Main Coronary Artery Ostial Atresia and Graves’ Disease: 10-Year Follow-up

Masakazu Kobayashi, Yasuhiro Morita, Keizo Tanaka, Taishi Hirai, Yohei Takayama, Masahiro Muto, Hideki Ishii, Toyoaki Murohara, Hideo Izawa

Research output: Contribution to journal › Article › peer-review

Abstract

This is the first report of a resuscitated adult with left main coronary artery ostial atresia (LMCAOA), with long-term follow-up for 10 years. A 57-year-old woman with untreated Graves' disease presented with resuscitated cardiac arrest, and her computed tomography coronary angiography showed a string-like left main without significant atherosclerosis, which led to the diagnosis of LMCAOA. Noninvasive and invasive testing revealed extensive myocardial ischemia because of LMCAOA with concomitant coronary spasm. After successful revascularization with coronary artery bypass grafting, the patient has remained stable for 10 years, which highlights this treatment as being highly effective and durable in patients with LMCAOA and cardiac arrest.

Original language	English
Pages (from-to)	1192-1194
Number of pages	3
Journal	CJC Open
Volume	3
Issue number	9
DOIs	https://doi.org/10.1016/j.cjco.2021.05.002
Publication status	Published - 09-2021

All Science Journal Classification (ASJC) codes

Cardiology and Cardiovascular Medicine

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10.1016/j.cjco.2021.05.002

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title = "A Resuscitated Adult With Left Main Coronary Artery Ostial Atresia and Graves{\textquoteright} Disease: 10-Year Follow-up",

abstract = "This is the first report of a resuscitated adult with left main coronary artery ostial atresia (LMCAOA), with long-term follow-up for 10 years. A 57-year-old woman with untreated Graves' disease presented with resuscitated cardiac arrest, and her computed tomography coronary angiography showed a string-like left main without significant atherosclerosis, which led to the diagnosis of LMCAOA. Noninvasive and invasive testing revealed extensive myocardial ischemia because of LMCAOA with concomitant coronary spasm. After successful revascularization with coronary artery bypass grafting, the patient has remained stable for 10 years, which highlights this treatment as being highly effective and durable in patients with LMCAOA and cardiac arrest.",

author = "Masakazu Kobayashi and Yasuhiro Morita and Keizo Tanaka and Taishi Hirai and Yohei Takayama and Masahiro Muto and Hideki Ishii and Toyoaki Murohara and Hideo Izawa",

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year = "2021",

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doi = "10.1016/j.cjco.2021.05.002",

language = "English",

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T1 - A Resuscitated Adult With Left Main Coronary Artery Ostial Atresia and Graves’ Disease

T2 - 10-Year Follow-up

AU - Kobayashi, Masakazu

AU - Morita, Yasuhiro

AU - Tanaka, Keizo

AU - Hirai, Taishi

AU - Takayama, Yohei

AU - Muto, Masahiro

AU - Ishii, Hideki

AU - Murohara, Toyoaki

AU - Izawa, Hideo

PY - 2021/9

Y1 - 2021/9

N2 - This is the first report of a resuscitated adult with left main coronary artery ostial atresia (LMCAOA), with long-term follow-up for 10 years. A 57-year-old woman with untreated Graves' disease presented with resuscitated cardiac arrest, and her computed tomography coronary angiography showed a string-like left main without significant atherosclerosis, which led to the diagnosis of LMCAOA. Noninvasive and invasive testing revealed extensive myocardial ischemia because of LMCAOA with concomitant coronary spasm. After successful revascularization with coronary artery bypass grafting, the patient has remained stable for 10 years, which highlights this treatment as being highly effective and durable in patients with LMCAOA and cardiac arrest.

AB - This is the first report of a resuscitated adult with left main coronary artery ostial atresia (LMCAOA), with long-term follow-up for 10 years. A 57-year-old woman with untreated Graves' disease presented with resuscitated cardiac arrest, and her computed tomography coronary angiography showed a string-like left main without significant atherosclerosis, which led to the diagnosis of LMCAOA. Noninvasive and invasive testing revealed extensive myocardial ischemia because of LMCAOA with concomitant coronary spasm. After successful revascularization with coronary artery bypass grafting, the patient has remained stable for 10 years, which highlights this treatment as being highly effective and durable in patients with LMCAOA and cardiac arrest.

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A Resuscitated Adult With Left Main Coronary Artery Ostial Atresia and Graves’ Disease: 10-Year Follow-up

Abstract

All Science Journal Classification (ASJC) codes

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