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

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

doi:10.1007/s11748-013-0290-9

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

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

Chiba Cardiovascular Center

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

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.

Original language	English
Pages (from-to)	239-241
Number of pages	3
Journal	General Thoracic and Cardiovascular Surgery
Volume	63
Issue number	4
DOIs	https://doi.org/10.1007/s11748-013-0290-9
Publication status	Published - 1 Apr 2015
Externally published	Yes

Keywords

Angioplasty
Autologous pericardium patch
Ostial atresia of LMCA

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10.1007/s11748-013-0290-9

Cite this

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title = "Surgical angioplasty for ostial atresia of left main coronary artery in child",

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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T1 - Surgical angioplasty for ostial atresia of left main coronary artery in child

AU - Ohba, Masanao

AU - Matsuo, Kozo

AU - Kabasawa, Masashi

AU - Kito, Hiroyuki

AU - Asano, Souichi

AU - Hirano, Masao

AU - Hayashida, Naoki

AU - Murayama, Hirokazu

PY - 2015/4/1

Y1 - 2015/4/1

N2 - 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.

AB - 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.

KW - Angioplasty

KW - Autologous pericardium patch

KW - Ostial atresia of LMCA

UR - https://www.scopus.com/pages/publications/84880738247

U2 - 10.1007/s11748-013-0290-9

DO - 10.1007/s11748-013-0290-9

M3 - Article

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AN - SCOPUS:84880738247

SN - 1863-6705

VL - 63

SP - 239

EP - 241

JO - General Thoracic and Cardiovascular Surgery

JF - General Thoracic and Cardiovascular Surgery

IS - 4

ER -

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

Abstract

Keywords

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