Mahmoud Alsalehi1, Aamir Jeewa1, Andrea Wan1, Juan Contreras2, Shi‐Joon Yoo3, Jessica A. Laks1
Congenital Heart Disease, Vol.14, No.6, pp. 901-923, 2019, DOI:10.1111/chd.12842
Abstract Left main coronary artery ostial atresia (LMCAOA) is a rare congenital anomaly of the
coronary arteries. The published literature regarding the current diagnostic and manage‐
ment recommendations are limited. We present three case series of LMCAOA from our
institution, including one with a unique association with anomalous origin of left coronary
artery (LCA) from pulmonary artery. In addition, this report includes a review of 50 pedi‐
atric and 43 adult cases from literature. The majority of the patients were symptomatic.
Sudden cardiac death occurred in 10% of pediatric patients and 7% of adult patients.
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