title: Intraoperative diagnosis of bilateral coronary ostia stenosis: a rare case of ischemic heart disease in a 3-month-old patient.
abstract: We report a case of a 3-month-old child, presenting with signs of myocardial ischemia and hemodynamic instability, requiring extracorporeal membrane oxygenation support. Due to the unclear preoperative instrumental findings, a surgical exploration was performed revealing the presence of coronary ostia stenosis and an intramural course of both coronary arteries. The child underwent a successful plasty of the coronary artery ostia by resecting the excessive obstructing fibrous tissue followed by unroofing of the intramural coronary artery course with restoring of a normal myocardial perfusion and function.
authors: Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Surgery, University of Padua, Padua, Italy.
authors: Assunta
authors: A
authors: Fabozzo
authors: Vladimiro L
authors: VL
authors: Vida
authors: Elena
authors: E
authors: Reffo
authors: Massimo A
authors: MA
authors: Padalino
authors: Ornella
authors: O
authors: Milanesi
authors: Giovanni
authors: G
authors: Stellin
mesh_terms: D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D003949:Diagnostic Techniques, Surgical; D006801:Humans; D007223:Infant; D007432:Intraoperative Period; D008297:Male; D017202:Myocardial Ischemia / Q000209:etiology