Chest Pain on Exertion After the Takeuchi Repair of Anomalous Origin of the Left Coronary Artery: Right Ventricular Ischemia Due to Severe Pulmonary Outflow Tract Obstruction. (January 2015)

• Record Type: Journal Article
• Authors: van der Bijl, Pieter; Doruyter, Alexander; Decker, Rik de; Lawrenson, John; Comitis, George; Hewitson, John
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 6:Number 1(2015:Jan.)
• Page Start: 90
• Page End: 92
• Publication Date: 2015-01
• Subjects: Takeuchi -- pulmonary stenosis -- exertional angina -- stress echocardiogram -- right ventricular ischemia -- Sestamibi; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135114544756
• Languages: English
• ISSNs: 2150-1351

Abstract

Right ventricular (RV) outflow obstruction (in the form of valvar or supravalvular pulmonary stenosis) is a well-known complication of the Takeuchi procedure. We describe a 13-year-old male with exertional chest pain, pulmonary stenosis, RV hypertrophy, and consequent RV ischemia, which was confirmed using stress echocardiography and single-photon emission tomography.