Author: Jean-François Paul, MD, Plessis-Robinson, France
Body Region: Cardiovascular
1. Patient presentation
- A 16-year-old girl presented with rapidly progressive chest pain.
- Laboratory testing revealed an elevation of cardiac enzymes, suggesting an acute coronary
syndrome.
- Conventional cardiac angiography showed that the left main trunk was not opacified; left
coronary ostial atresia was suspected. - An aortic and cardiac CT examination was performed for further evaluation.