Congenital atresia of the left coronary artery--myocardial revascularization in two children

Interactive Cardiovascular and Thoracic Surgery
Roman GebauerPetr Tax

Abstract

Two patients with congenital atresia of the left coronary artery ostium underwent myocardial revascularization at the age of three years and three months, respectively. The patients were admitted to the hospital with a clinical history of sudden chest pain or short apnea not necessitating resuscitation. Non-invasive examinations and hemodynamic studies revealed dysfunction of the left ventricle and ostial atresia of the left coronary artery. Surgical revascularization-bypass grafts were performed using the left internal mammary artery and saphenous vein graft in the first case and the left internal mammary artery in the second child. Both patients survived surgery and good patency of the grafts was confirmed by coronary angiograms during hospital stay. These cases are interesting because of their rarity and diagnostic and therapeutic difficulties.

References

Mar 1, 1997·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·A MusianiC De Gasperis
Apr 2, 2002·Cardiology in the Young·Leon M GerlisMary N Sheppard

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Citations

Mar 12, 2013·Cardiovascular Intervention and Therapeutics·Yohei NumasawaToshiyuki Takahashi
Oct 29, 2009·European Journal of Pediatrics·Zaheer AhmadJoseph J Vettukattil
Jul 28, 2012·The Annals of Thoracic Surgery·David J KaczorowskiKimberly Y Lin
Aug 20, 2011·Pediatrics International : Official Journal of the Japan Pediatric Society·Yakup ErgulUmrah Aydogan
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Jul 2, 2010·Journal of Zhejiang University. Science. B·Su Ye SohnByung Min Choi
Apr 1, 2010·Journal of the Saudi Heart Association·Ahmed A ArifiHani K Najm
Apr 17, 2012·The Journal of Thoracic and Cardiovascular Surgery·Nikhil Prakash PatilDeepak Kumar Satsangi
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Sep 19, 2019·Congenital Heart Disease·Mahmoud AlsalehiJessica A Laks
Jun 6, 2013·Congenital Heart Disease·Saurabh Kumar GuptaGurpreet Singh Gulati
Apr 27, 2018·World Journal for Pediatric & Congenital Heart Surgery·Krzysztof W MichalakJacek Jan Moll
Nov 23, 2020·Interactive Cardiovascular and Thoracic Surgery·Martin SchmiadyHitendu Dave
Feb 3, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Amit Mishra
Feb 16, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Mrinalendu Das, Pradeep Narayan

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