Three's a Crowd-A Unique Combination of Coronary Artery Atresia, Fistula, and Stenosis: Multiple Congenital Coronary Artery Anomalies

Left coronary artery atresia in the young: long-term follow-up without exercise restriction

An 11-year-old male was presented with exertional chest pain and was diagnosed with atresia of the left main coronary artery. A stress nuclear perfusion imaging was negative at initial presentation, and a vasodilator stress cardiac MRI was again negative 5 years later. The patient has fully participated in competitive sports for 6 years with no occurrence of cardiac events.