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Congenital atresia of the left coronary artery--myocardial revascularization in two children
R Gebauer, S Cerny, P Vojtovic, P Tax
Language English Country Great Britain
Document type Case Reports
NLK
Free Medical Journals
from 2002
Oxford Journals Open Access Collection
from 2002-09-01 to 2022
Oxford Journals Open Access Collection
from 2002-09-01
- MeSH
- Angina Pectoris etiology surgery MeSH
- Coronary Vessel Anomalies surgery complications physiopathology pathology MeSH
- Apnea etiology surgery MeSH
- Ventricular Function, Left MeSH
- Infant MeSH
- Coronary Angiography MeSH
- Coronary Artery Bypass MeSH
- Coronary Vessels surgery physiopathology pathology MeSH
- Humans MeSH
- Child, Preschool MeSH
- Vascular Patency MeSH
- Saphenous Vein transplantation MeSH
- Treatment Outcome MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Child, Preschool MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
Two patients with congenital atresia of the left coronary artery ostium underwent myocardial revascularization at the age of three years and three months, respectively. The patients were admitted to the hospital with a clinical history of sudden chest pain or short apnea not necessitating resuscitation. Non-invasive examinations and hemodynamic studies revealed dysfunction of the left ventricle and ostial atresia of the left coronary artery. Surgical revascularization-bypass grafts were performed using the left internal mammary artery and saphenous vein graft in the first case and the left internal mammary artery in the second child. Both patients survived surgery and good patency of the grafts was confirmed by coronary angiograms during hospital stay. These cases are interesting because of their rarity and diagnostic and therapeutic difficulties.
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- $a Two patients with congenital atresia of the left coronary artery ostium underwent myocardial revascularization at the age of three years and three months, respectively. The patients were admitted to the hospital with a clinical history of sudden chest pain or short apnea not necessitating resuscitation. Non-invasive examinations and hemodynamic studies revealed dysfunction of the left ventricle and ostial atresia of the left coronary artery. Surgical revascularization-bypass grafts were performed using the left internal mammary artery and saphenous vein graft in the first case and the left internal mammary artery in the second child. Both patients survived surgery and good patency of the grafts was confirmed by coronary angiograms during hospital stay. These cases are interesting because of their rarity and diagnostic and therapeutic difficulties.
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