Late reoperation after reimplantation of an anomalous single coronary artery from the pulmonary artery.
A 14-year-old girl with an anomalous origin of a single coronary artery from the pulmonary artery, moderate mitral insufficiency, and an outlet ventricular septal defect, underwent direct reimplantation of the single coronary artery (SCA) to the aorta and closure of the ventricular septal defect at 6 months of age. She had stenosis of the proximal single coronary artery develop 14 years after the initial operation. A patch augmentation of her proximal SCA was successfully performed, and a postoperative coronary angiographic scan taken 3 months after her surgery showed a widely patent SCA without any residual narrowing.
Hoashi
Takaya
T
Division of Pediatric Cardiovascular Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Hirsch
Jennifer C
JC
Bove
Edward L
EL
Ohye
Richard G
RG
D000293:Adolescent; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D012086:Reoperation; D013997:Time Factors; D014656:Vascular Surgical Procedures / Q000379:methods*