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Left Main Coronary Artery Atresia in a 2-Year-Old Toddler With De Novo Heart Failure: Case Report and Review of the Literature Publisher



Asl Fallah S1 ; Mahdavi M2 ; Rezaeikalantari K2 ; Qanadli SD3 ; Mirsadraee S4, 5
Authors

Source: Frontiers in Cardiovascular Medicine Published:2022


Abstract

Congenital coronary anomalies are among the rare disorders of the otherwise normal heart. A 2-year-old toddler was evaluated for de novo heart failure after a flu-like event 2 months before being suspicious of post-Covid-19 dilated cardiomyopathy. The cardiac magnetic resonance (CMR) technique displayed the basal to mid subendocardial to transmural scar, suggestive of an ischemic etiology. Further assessment with CT and invasive angiography confirmed the very uncommon left main coronary artery atresia (LMCAA) as the main cause of the patient's heart failure. This is not only the first reported LMCAA case that had undergone a CMR study but was also initially suspected with characteristic CMR findings. Copyright © 2022 Asl Fallah, Mahdavi, Rezaei-Kalantari, Qanadli and Mirsadraee.
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