The absence of evidence is not the evidence of absence: A case report on the challenges in diagnosing ostial left main stenosis

Ayesha Shaik, Wassim Mosleh, Khagendra Dahal, Christopher Pickett, Michael Azrin

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)836-840
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume97
Issue number5
DOIs
StatePublished - Apr 1 2021
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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