title: Near-fatal neonatal coronary ischaemia associated with intermittent aortic regurgitation: successful surgical treatment.
abstract: An infant presented with features suggestive of an anomalous left coronary artery was found to have normal origins of both coronary arteries. Echocardiography during episodes of ischaemia showed marked aortic regurgitation with retrograde coronary flow. The left coronary leaflet was mildly hypoplastic. Surgical re-suspension of this leaflet prevented aortic regurgitation and the patient had no further symptoms and recovered cardiac function.
authors.affiliation: 1Seattle Children's Hospital,The University of Washington.
authors.forename: Maggie L
authors.initials: ML
authors.lastname: Likes
authors.affiliation: 2Division of Pediatric Cardiology,Stanford University,Palo Alto,California 2,United States of America.
authors.forename: Norman H
authors.initials: NH
authors.lastname: Silverman
authors.affiliation: 1Seattle Children's Hospital,The University of Washington.
authors.forename: Erin L
authors.initials: EL
authors.lastname: Albers
authors.affiliation: 1Seattle Children's Hospital,The University of Washington.
authors.forename: Raylene
authors.initials: R
authors.lastname: Choy
authors.affiliation: 1Seattle Children's Hospital,The University of Washington.
authors.forename: Aarti
authors.initials: A
authors.lastname: Bhat
authors.affiliation: 1Seattle Children's Hospital,The University of Washington.
authors.forename: David M
authors.initials: DM
authors.lastname: McMullan
mesh_terms: D001022:Aortic Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D058385:Cardiac Valve Annuloplasty; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D018618:Echocardiography, Doppler, Color; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000209:etiology
keywords: Anomalous left coronary artery; ischaemic myopathy; life threatening events