Isolated left ventricular ischemia after the Norwood procedure.
Aortic atresia is the most severe variant of hypoplastic left heart syndrome (HLHS), and has been associated with significant mortality after stage I palliation. Coronary artery abnormalities are more prominent in this group of patients, especially in the presence of a patent mitral valve. Herein, we describe a case of isolated left ventricular ischemia after the Norwood procedure in a neonate with hypoplastic left heart syndrome, left ventricular hypertrophy, mitral stenosis, aortic atresia, and anomalous left coronary artery.
DeRose
Joseph J
JJ
Department of Pathology, Columbia University College of Physicians and Surgeons, New York, New York, USA.
Corda
Rozelle
R
Dische
M Renate
MR
Eleazar
Jennifer
J
Mosca
Ralph S
RS
D003330:Coronary Vessel Anomalies / Q000473:pathology / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology; D017809:Fatal Outcome; D018729:Fontan Procedure; D006346:Heart Septum / Q000473:pathology; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000473:pathology / Q000601:surgery*; D018636:Hypoplastic Left Heart Syndrome / Q000473:pathology / Q000601:surgery*; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000473:pathology / Q000601:surgery*; D008297:Male; D017202:Myocardial Ischemia / Q000473:pathology / Q000601:surgery*; D010166:Palliative Care; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D018633:Pulmonary Atresia / Q000473:pathology / Q000601:surgery*; D012086:Reoperation