Hypoplastic Left Anterior Descending Coronary: Early Assessment by Transthoracic Coronary Ultrasound

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Cesare R. Sirtori Samuela Castelnuovo Fabien Labombarda


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.

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SIRTORI, Cesare R.; CASTELNUOVO, Samuela; LABOMBARDA, Fabien. Hypoplastic Left Anterior Descending Coronary: Early Assessment by Transthoracic Coronary Ultrasound. Medical Research Archives, [S.l.], v. 6, n. 2, feb. 2018. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/1683>. Date accessed: 28 nov. 2021. doi: https://doi.org/10.18103/mra.v6i2.1683.
Research Articles


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