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Congenital valvar aortic stenosis and abnormal origin of the right coronary artery: Rare combination with important clinical implications

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Abstract

Congenital valvar aortic stenosis in association with an abnormal coronary artery origin and distribution has not been previously reported. The right coronary artery arose in the left ventricular (LV) outflow tract and supplied much of the LV myocardium. Aortic valvotomy with standard antegrade cardioplegia resulted in infarction of the left ventricle. Aggressive attempts to ascertain the origin of the coronary arteries in right dominant coronary systems must be performed before any intervention in this group of patients.

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Authors and Affiliations

  1. Department of Pediatric Cardiology, Children's Hospital Oakland, 747 52nd Street, 94609-1809, Oakland, CA, USA

    C. Culbertson, G. Helton & C. Hardy

  2. Department of Cardiothoracic Surgery, Children's Hospital Oakland, 747 52nd Street, 94609-1809, Oakland, CA, USA

    W. De Campli & N. Young

  3. Department of Cardiac Pathology, Children's Hospital Oakland, 747 52nd Street, 94609-1809, Oakland, CA, USA

    R. Williams

Authors
  1. C. Culbertson
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  2. W. De Campli
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  3. R. Williams
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  4. G. Helton
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  5. N. Young
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  6. C. Hardy
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Culbertson, C., De Campli, W., Williams, R. et al. Congenital valvar aortic stenosis and abnormal origin of the right coronary artery: Rare combination with important clinical implications. Pediatr Cardiol 16, 73–75 (1995). https://doi.org/10.1007/BF00796821

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  • DOI: https://doi.org/10.1007/BF00796821

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