Congenital atresia of the ostium of left main coronary artery: a rare coronary anomaly, diagnostic difficulty and successful surgical revascularization.
We report the case of an 8-month-old infant who was referred for mechanical circulatory support (extracorporeal membrane oxygenation). Aortogram was compatible with the diagnosis of anomalous origin of left coronary artery to pulmonary trunk. A definitive diagnosis of atresia of the left coronary ostium was only established intraoperatively. Patient underwent successful surgical angioplasty with an autologous pericardial patch.
Varghese
Philip
P
University Hospital of Leicester NHS Trust, Department of Cardiothoracic Surgery, Leicester, UK. drphilipv90@yahoo.com
Leanage
Ranjit U
RU
Peek
Giles J
GJ
D001027:Aortography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D015199:Extracorporeal Membrane Oxygenation; D006333:Heart Failure / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D007223:Infant; D008171:Lung Diseases / Q000209:etiology / Q000628:therapy; D008297:Male; D009204:Myocardial Revascularization / Q000379:methods; D011651:Pulmonary Artery / Q000002:abnormalities*; D016896:Treatment Outcome