Congenital atresia of the left main coronary artery: management of a 5-year-old child in extremis. (22nd November 2020)

• Record Type: Journal Article
• Authors: Schmiady, Martin; Kretschmar, Oliver; Prêtre, René; Dave, Hitendu
• Is Part Of: Interactive cardiovascular and thoracic surgery. Volume 32:Number 3(2021)
• Page Start: 497
• Page End: 498
• Publication Date: 2020-11-22
• Subjects: Left main coronary artery atresia -- Coronary artery anomalies -- Mitral regurgitation -- Coronary artery bypass grafting; Chest -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.1
• DOI: 10.1093/icvts/ivaa268
• Languages: English
• ISSNs: 1569-9293

Abstract

Abstract: Atresia of the left main coronary artery is a rare coronary anomaly. We describe the case of a 5-year-old child presenting in emergency in extremis. Clinical findings of haemodynamic collapse, malignant ventricular tachyarrhythmias and severe mitral regurgitation were indicative of a possible ischaemic aetiology. Surgical revascularization of the atretic left main coronary artery segment using an interposition autologous saphenous vein graft was successfully performed. Abstract : Coronary artery anomalies are a diverse group of congenital cardiac malformations.