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Open Access 01-12-2021 | Case report

Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report

Authors: Jacek Pająk, Maciej Aleksander Karolczak, Michał Buczyński, Wojciech Mądry, Darren James Grégoire, Piotr Weryński, Wanda Król-Jawień, Krzysztof Godlewski, Lidia Tomkiewicz-Pająk, Jacek Kuźma

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Background

Coronary steal phenomenon and myocardial ischemia is a complication following decompression of a hypertensive right ventricle in patients with left coronary-cameral fistulae.

Case presentation

We present a 12-year-old girl with a complex heart defect successfully operated on using a hybrid surgical-interventional approach to decompress the ventricle, embolize the fistula and reconstruct the atretic left coronary ostium.

Conclusions

A novel hybrid strategy is the best solution for coronary-cameral fistulas reliant on high ventricular pressure at high risk for coronary steal phenomenon.

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Hartz J, Nathan M, Newburger JW, Quinonez L. Surgical repair of congenital atresia of the left coronary ostium. JACC Case Reports. 2021;3:198–201.CrossRef

D’Souza TF, Samuel BP, Vettukattil JJ, et al. Surgical treatment of neonate with congenital left main coronary artery atresia. Ann Thorac Surg. 2016;101:352–5.CrossRef

Amaral F, Tanamati C, Granzotti JA, et al. Congenital atresia of the ostium of the left coronary artery. Diagnostic difficulty and successful surgical revascularization in two patients. Arq Bras Cardiol. 2000;74:339–42.CrossRef

Kamiya H, Yasuda T, Nagamine H, et al. Surgical treatment of congenital coronary artery fistulas: 27 years’ experience and a review of the literature. J Card Surg. 2002;17:173–7.CrossRef

Title: Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report
Authors: Jacek Pająk
Maciej Aleksander Karolczak
Michał Buczyński
Wojciech Mądry
Darren James Grégoire
Piotr Weryński
Wanda Król-Jawień
Krzysztof Godlewski
Lidia Tomkiewicz-Pająk
Jacek Kuźma
Publication date: 01-12-2021
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01681-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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