A young soldier with syncope, shortness of breath and palpitations.

Z. Mladenović,Z. Mijailović,Dragan Tavaciovski,R. Ilić,S. Rusović,Z. Trifunović,R. Matunović

Published 2010 in Vojnosanitetski Pregled

ABSTRACT

INTRODUCTION Coronary artery disease in people under 30 years is relatively uncommon, but once a disease occurs it brings a significant morbidity and psychological effects. CASE REPORT We reported a 28-year-old patient presenting atypical symptoms after sincopa and non-specific changes on electrocardiogram at admission. After noninvasive and invasive cardiology diagnostic procedures were made, we concluded that he had a subtotal tubular stenosis in proximal segment of the left anterior descending coronary artery. Myocardial revascularization was successfully performed 24-hour after coronarography with the left internal mammary thoracic artery graft on the left anterior descending coronary artery and the patient had a prompt and satisfactory postoperative recovery. CONCLUSION This case indicates the importance of a careful evaluation of young adults even if they do not experience typical anginal symptoms or do not have multiple risk factors for cardiovascular diseases.

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