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Year : 2016  |  Volume : 2  |  Issue : 1  |  Page : 112-114

Hypoplastic left anterior descending coronary artery as the cause of inducible myocardial ischemia in a 46-year-old man

Department of Cardiology, St. Luke's University Health Network, Bethlehem, Pennsylvania, USA

Correspondence Address:
Jamshid Shirani
Department of Cardiology, St. Luke's University Health Network, 801 Ostrum Street, Bethlehem, Pennsylvania 18015
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2455-5568.183319

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Hypoplasia of the left anterior descending (LAD) coronary artery in the absence of other congenital cardiac anomalies is quite rare and presents a real therapeutic challenge. Few cases of this type coronary anomaly have been reported in children and young adults. We present a middle-aged man with clinical, electrocardiographic, and dobutamine stress echocardiographic evidence of myocardial ischemia caused by a hypoplastic distal LAD coronary artery originating from a septal perforator. Diagnostic and therapeutic challenges posed by this rare condition are discussed. The following core competencies are addressed in this article: Medical knowledge, Patient care

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