Coronary Ostial Stenosis in a Young Patient

Coronary ostial stenosis in a young patient.

A 37-year-old man presented to our department complaining of severe chest pain triggered by the slightest physical exercise. The symptoms appeared 6 months previously and have gradually worsened. His medical history was unremarkable, and he had no cardiovascular risk factors except smoking. A 6-lead ECG at rest was normal, as was the chest x-ray. The ultrasonography examination revealed severe ...

Coronary ostial stenosis.

Coronary ostial stenosis as a complication of atherosclerosis is a rarely emphasized angiographic finding. Its recognition is important because of the adverse prognosis of left main stenosis and the inherent risks during catheterization of these patients. Recently 3 patients were identified with left coronary ostial stenosis. A clinical picture emerged during coronary angiography characterized ...

Coronary ostial stenosis.

From January 1970 to December 1986, 2.7% (228/8509) of all patients having coronary artery bypass grafting had atherosclerotic coronary ostial stenosis of 50% or more. There were 126 males (55%) and 102 females (45%) with mean ages of 60.2 +/- 9.0 and 59.2 +/- 10.2 years (P = NS), respectively. The left ostium was involved in 176 (77.2%) patients, the right in 41 (18.0%) and both in 11 (4.8%). ...

Isolated Left Coronary Ostial Stenosis

Ostial Coronary Stenosis and Severe Aortic Stenosis in a Patient With Familial Hypercholesterolemia

A 33-year-old female presented with the typical angina symptoms of dyspnea on exertion. Five years prior, the patient had been diagnosed with familial hypercholesterolemia, as had her living siblings (a brother and a sister). The patient’s family history included 2 brothers and 2 sisters that died in childhood due to unknown etiology. Although she was being treated with 80 mg atorvastatin and 1...