Left main coronary artery agenesia, and critical bicuspid aortic stenosis. More than a murmur.
DOI:
https://doi.org/10.37615/retic.v7n2a13Keywords:
aortic stenosis, left main coronary artery agenesis, congenital heart disease, coronary anomalyAbstract
We present the case of a 56-year-old patient who comes to her medical check-up reporting episodes of dyspnea in functional class II-III and upon auscultation a systolic murmur is detected. A transthoracic doppler echocardiogram was performed, which confirmed the presence of critical aortic stenosis. In the presence of non-specific symptoms, a coronary angiography is requested in order to evaluate the probable ischemic etiology of the symptoms, which reveals the presence of a complex coronary anomaly and the absence of angiographically significant lesions. For a more exhaustive evaluation of coronary and aortic pathology, a multi-image evaluationis performed.
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Copyright (c) 2024 Diego Lowenstein Haber, Andrea Alvarenga, Leandro Cardozo, Exequiel Escalante, Miguel Ángel Freis, Gerónimo Imaz
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