The occult hemodynamically significant left main stenosis in the asymptomatic patient: Reconciling the visual-functional mismatch – A case report and review of screening appropriateness and assessment
Abstract
We present a 40 year old asymptomatic man with mild left main artery narrowing who demonstrated extreme discordance between symptom presentation and ischemic burden i.e. visual (angiographic) and ischemic (functional) mismatch. The use of an appropriately selected screening stress test can lead to an appropriate decision for revascularization, supported by landmark risk assessment documents and revascularization trials.