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General Thoracic and Cardiovascular Surgery

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01-04-2015 | Case Report

Surgical angioplasty for ostial atresia of left main coronary artery in child

Authors: Masanao Ohba, Kozo Matsuo, Masashi Kabasawa, Hiroyuki Kito, Souichi Asano, Masao Hirano, Naoki Hayashida, Hirokazu Murayama

Published in: General Thoracic and Cardiovascular Surgery | Issue 4/2015

Abstract

Ostial atresia of the left main coronary artery (LMCA) in children without any primary disease is extremely rare. We present here a case of occlusion of the LMCA in a 9-year-old girl. Myocardial scintigraphy showed poor perfusion in both domains of the left anterior descending artery (LAD) and left circumflex artery (LCx). Coronary artery graphy (CAG) showed complete ostial atresia of the LMCA and retrograde perfusion from the thin collateral arteries into the LAD. We performed angioplasty using an autologous pericardium onlay patch. Her postoperative course was unremarkable. Postoperative CAG showed vanishing collateral arteries, confirming anterograde flow through the LAD and LCx, and myocardial scintigraphy showed improvement in perfusion.

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Title: Surgical angioplasty for ostial atresia of left main coronary artery in child
Authors: Masanao Ohba
Kozo Matsuo
Masashi Kabasawa
Hiroyuki Kito
Souichi Asano
Masao Hirano
Naoki Hayashida
Hirokazu Murayama
Publication date: 01-04-2015
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 4/2015
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-013-0290-9

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Surgical angioplasty for ostial atresia of left main coronary artery in child

Abstract

Keynote webinar | Spotlight on medication adherence

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Abstract

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