title: Surgical Treatment of Neonate With Congenital Left Main Coronary Artery Atresia.
abstract: Left main coronary artery atresia (LMCAA) is a rare congenital malformation with a nonspecific and varied clinical presentation. Ventricular dysfunction and mitral insufficiency are expected ischemic consequences in the neonatal period. Left internal mammary artery (LIMA) bypass grafting (CABG) is uncommon because of the technical difficulties in performing this procedure in neonates. We describe LMCAA revascularization with a LIMA graft and mitral valve repair in a 7-week-old neonate with successful outcome 1 year postoperatively.
authors.affiliation: College of Human Medicine, Michigan State University, Grand Rapids, Michigan.
authors.forename: Travis F
authors.initials: TF
authors.lastname: D'Souza
authors.affiliation: Congenital Heart Center, Helen DeVos Children's Hospital, Grand Rapids, Michigan.
authors.forename: Bennett P
authors.initials: BP
authors.lastname: Samuel
authors.affiliation: Congenital Heart Center, Helen DeVos Children's Hospital, Grand Rapids, Michigan.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Vettukattil
authors.affiliation: Congenital Heart Center, Helen DeVos Children's Hospital, Grand Rapids, Michigan. Electronic address: marcus.haw@helendevoschildrens.org.
authors.forename: Marcus P
authors.initials: MP
authors.lastname: Haw
mesh_terms: D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D004452:Echocardiography; D006801:Humans; D007223:Infant; D008297:Male; D014656:Vascular Surgical Procedures / Q000379:methods*