Atresia of the left main coronary artery: repair with left internal mammary artery bypass.
The case of a 17-month-old child with atresia of the left main coronary artery and mitral insufficiency is presented. The child underwent two separate surgical procedures, the first being a left internal mammary-left anterior descending coronary artery bypass and plication of the mitral valve. During the follow-up period the mitral insufficiency progressed, and the child subsequently underwent mitral valve replacement with a Björk-Shiley prosthesis. A selective study of the left internal mammary demonstrated excellent flow into the left coronary artery system. The report illustrates the use of the left internal mammary artery in a small child.
D001026:Coronary Artery Bypass / Q000379:methods*; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D007223:Infant; D008297:Male; D008323:Mammary Arteries / Q000601:surgery*; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000601:surgery; D013895:Thoracic Arteries / Q000601:surgery*