title: Patch angioplasty and neo-ostium creation for intramural left coronary artery.
abstract: Anomalous aortic origin of the coronary artery is a rare cardiac anomaly which induces myocardial ischemia and is associated with sudden death. We operated on a 25-year-old female with syncopal episodes who had an intramural left coronary artery. A neo-ostium was created in the left sinus but the initial neo-ostium seemed small because of the hypoplastic intramural segment of the left coronary artery. Therefore, saphenous vein patch angioplasty was added for ostial enlargement. The patient was symptom-free at one year follow-up and exercise stress test was negative for ischemia.
authors: Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan. hisato.ito@gmail.com
authors: Hisato
authors: H
authors: Ito
authors: Shin
authors: S
authors: Takabayashi
authors: Masaki
authors: M
authors: Kajimoto
authors: Hideto
authors: H
authors: Shimpo
mesh_terms: D000328:Adult; D017130:Angioplasty; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D012501:Saphenous Vein / Q000637:transplantation*; D019738:Surgically-Created Structures; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome