TY - JOUR
T1 - The absence of evidence is not the evidence of absence
T2 - A case report on the challenges in diagnosing ostial left main stenosis
AU - Shaik, Ayesha
AU - Mosleh, Wassim
AU - Dahal, Khagendra
AU - Pickett, Christopher
AU - Azrin, Michael
N1 - Publisher Copyright:
© 2020 Wiley Periodicals LLC
PY - 2021/4/1
Y1 - 2021/4/1
N2 - Because left main (LM) coronary artery stenosis is known to have higher mortality and morbidity compared to lesions in other territories, an early diagnosis and management are crucial to prevent worse outcomes. Due to limitations of coronary angiography (CA), the diagnosis of ostial LM stenosis solely based on CA may result in underdiagnosis of such lesions. Therefore, additional testing is often needed either by pressure wire or intravascular ultrasound (IVUS) to make appropriate diagnosis. We, hereby, present a case of left main ostial stenosis in a 56-year-old male that was missed on multiple coronary angiograms, and highlights many of the considerations in the diagnosis of LM disease.
AB - Because left main (LM) coronary artery stenosis is known to have higher mortality and morbidity compared to lesions in other territories, an early diagnosis and management are crucial to prevent worse outcomes. Due to limitations of coronary angiography (CA), the diagnosis of ostial LM stenosis solely based on CA may result in underdiagnosis of such lesions. Therefore, additional testing is often needed either by pressure wire or intravascular ultrasound (IVUS) to make appropriate diagnosis. We, hereby, present a case of left main ostial stenosis in a 56-year-old male that was missed on multiple coronary angiograms, and highlights many of the considerations in the diagnosis of LM disease.
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U2 - 10.1002/ccd.29191
DO - 10.1002/ccd.29191
M3 - Article
C2 - 32815625
AN - SCOPUS:85089583515
VL - 97
SP - 836
EP - 840
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
SN - 1522-1946
IS - 5
ER -