Congenital atresia of the left main coronary artery in an infant |
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Authors: | Su Ye Sohn Gi Young Jang Byung Min Choi |
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Institution: | (1) Congenital Cardiac Centre, Southampton University Hospitals NHS Trust, Mail point 46, Tremona Road, Southampton, SO16 6YD, UK; |
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Abstract: | Congenital atresia of the left main coronary artery is a rare occurrence, and surgical revascularizationbypass graft is required.
We here report a rare case of congenital coronary anomaly in an infant. A 10-month-old male infant was admitted to the hospital
with heart failure symptoms. Echocardiographic examinations revealed mitral valve regurgitation and ischemic changes of the
anterolateral papillary muscle and chordae. Coronary angiography showed atresia of the left main coronary artery with a severe
hypoplastic left anterior descending artery and a circumflex coronary artery. Unfortunately, sudden cardiac arrest occurred
after catheterization and the infant did not recover despite of immediate cardiopulmonary resuscitation. Further studies are
needed to find a newer diagnostic method to detect coronary anomaly in an infant, and coronary angiography, if necessary,
has to be performed very carefully. |
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Keywords: | Congenital heart disease Anomalous coronaries Infant |
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