Repair of left coronary artery ostial isolation caused by aortic valve leaflet.
A 13-year-old girl had recurrent syncope episodes and chest oppression during exercise caused by myocardial ischemia that was confirmed by stress myocardial scintigraphy. Echocardiography revealed mild aortic regurgitation (AR). Cineangiography revealed persistent opacification of the left coronary sinus. Freeing of the adherent left coronary cusp from the aortic wall increased antegrade left coronary flow and commissural resuspension restored AR. Postoperative recovery was uneventful and myocardial ischemia did not develop after surgery. Hence, although left coronary artery ostial isolation by aortic valve leaflet is rare, it can be successfully treated by aortic valve repair.
Oda
Takeshi
T
Cardiovascular Surgery and Pediatric Cardiology, St. Mary's Hospital, 422 Tsubukuhon-Machi, Kurume City, Fukuoka 830-8543, Japan. oda@st-mary-med.or.jp
Yasunaga
Hiroshi
H
Todo
Kageshige
K
Suda
Kenji
K
D000293:Adolescent; D000787:Angina Pectoris / Q000209:etiology; D001021:Aortic Valve / Q000002:abnormalities / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D002932:Cineangiography; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017548:Echocardiography, Transesophageal; D005080:Exercise Test; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D055414:Myocardial Perfusion Imaging; D013575:Syncope / Q000209:etiology; D016896:Treatment Outcome