Surgical management of left coronary artery ostial atresia and supravalvar aortic stenosis.
Congenital atresia of the left main coronary artery ostium is a rare lesion, particularly when found in association with supravalvar aortic stenosis. This report describes the preoperative evaluation and surgical management of this lesion found in conjunction with a quadricuspid aortic valve in a 5-year-old child. Patch aortoplasty and left internal thoracic artery to left anterior descending coronary artery bypass were performed to correct this lesion.
Rosenkranz
E R
ER
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Ohio 44195-5066.
Murphy
D J
DJ
Cosgrove
D M
DM
D000015:Abnormalities, Multiple / Q000601:surgery*; D001021:Aortic Valve / Q000002:abnormalities*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D002675:Child, Preschool; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D013895:Thoracic Arteries / Q000000981:diagnostic imaging / Q000637:transplantation