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pubmed-article:21687045pubmed:abstractTextA left main coronary artery (LMCA) stenosis without any atherosclerotic changes elsewhere in the coronary artery tree is a rare finding, and some uncommon reasons for luminal narrowing should be considered. An unusual case of non-atherosclerotic LMCA stenosis is reported.A middle-aged patient presented with acute myocardial infarction. An immediate coronary angiography was ordered and revealed a subtotal mid LMCA stenosis. A drug-eluting stent was successfully implanted in the LMCA.Operative revascularisation was recommended. Routine surgery was performed and surprisingly revealed an extended mass of a mediastinal tumour surrounding the aortic root. Histopathological examination of the tumour revealed a poorly differentiated squamous cell carcinoma.Postoperatively, the patient was treated with chemotherapy (carboplatin and docetaxel). Five years after the first admission to our hospital, the patient died as a result of ventricular fibrillation.The differential diagnosis of non-atherosclerotic LMCA stenoses is discussed.lld:pubmed
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pubmed-article:21687045pubmed:statusPubMed-not-MEDLINElld:pubmed
pubmed-article:21687045pubmed:issn1757-790Xlld:pubmed
pubmed-article:21687045pubmed:authorpubmed-author:TannapfelAndr...lld:pubmed
pubmed-article:21687045pubmed:authorpubmed-author:LindstaedtMic...lld:pubmed
pubmed-article:21687045pubmed:authorpubmed-author:GermingAlfrie...lld:pubmed
pubmed-article:21687045pubmed:authorpubmed-author:LaczkovicsAxe...lld:pubmed
pubmed-article:21687045pubmed:authorpubmed-author:MüggeAndreasAlld:pubmed
pubmed-article:21687045pubmed:authorpubmed-author:BojaraWaldema...lld:pubmed
pubmed-article:21687045pubmed:authorpubmed-author:GotzmannMicha...lld:pubmed
pubmed-article:21687045pubmed:authorpubmed-author:ThiessenChris...lld:pubmed
pubmed-article:21687045pubmed:issnTypeElectroniclld:pubmed
pubmed-article:21687045pubmed:volume2009lld:pubmed
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pubmed-article:21687045pubmed:paginationbcr0820080776lld:pubmed
pubmed-article:21687045pubmed:year2009lld:pubmed
pubmed-article:21687045pubmed:articleTitleDifferential diagnosis of non-atherosclerotic left main coronary artery stenosis.lld:pubmed
pubmed-article:21687045pubmed:affiliationBerufsgenossenschaftliche Universitätsklinik Bergmannsheil, Medizinische Klinik II,Kardiologie und Angiologie, Bürkle-de-la-Camp-Platz 1, Bochum, 44789, Germany.lld:pubmed
pubmed-article:21687045pubmed:publicationTypeJournal Articlelld:pubmed