TY - JOUR AU - Sirtori, Cesare R. AU - Castelnuovo, Samuela AU - Labombarda, Fabien PY - 2018/02/15 TI - Hypoplastic Left Anterior Descending Coronary: Early Assessment by Transthoracic Coronary Ultrasound JF - Medical Research Archives; Vol 6 No 2 (2018): Vol.6 Issue 2 February 2018DO - 10.18103/mra.v6i2.1683 KW - N2 - The presence of a hypoplastic coronary is a relatively rare condition and it is seldom reported. Hypoplastic coronary can lead to severe ischemic consequences and appears to be poorly sensitive to invasive treatment. The case of a patient evaluated by transthoracic echocardiographic ultrasound (TTE-US) of the coronary tree is here reported. A poor visualization of the left anterior descending (LAD) coronary, generally well visible by this technique was noted. A few months later the patient underwent a myocardial infarction (MI) in the LAD territory. The coronary angiogram noted a hypoplastic LAD, poorly expanded by the stent. This finding was confirmed by repeated US, The potential implication of this case report is that a more frequent use of a coronary TTE-US evaluation may at times indicate the presence of a poorly visible major coronary. The presence of a hypoplastic coronary artery should be considered. UR - https://esmed.org/MRA/mra/article/view/1683