Why the study?
Left main coronary artery ostial atresia is a rare congenital anomaly, and published literature regarding current diagnostic and management recommendations is limited.
Does revascularization surgery improve survival in patients with left main coronary artery ostial atresia compared to no revascularization?
Comparison
Revascularization surgery vs no revascularization surgery
Design
Case series and literature review
Authors
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Should not yet change practice in this rare anomaly; leaves open whether revascularization causally improves survival.
Does revascularization surgery improve survival in patients with left main coronary artery ostial atresia compared to no revascularization?
Revascularization surgery is recommended for symptomatic patients with left main coronary artery ostial atresia or those with objective evidence of ischemia, as it appears to improve survival compared to conservative management.
Alsalehi et al. (2019) studied this question.
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