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CLC number: R72

On-line Access: 2010-07-04

Received: 2009-11-11

Revision Accepted: 2010-02-26

Crosschecked: 2010-06-02

Cited: 3

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Journal of Zhejiang University SCIENCE B 2010 Vol.11 No.7 P.539-541

10.1631/jzus.B0900361


Congenital atresia of the left main coronary artery in an infant


Author(s):  Su Ye Sohn, Gi Young Jang, Byung Min Choi

Affiliation(s):  Department of Pediatrics, Korea University Hospital, Ansan 425-707, Korea

Corresponding email(s):   JGYNHG@yahoo.co.kr

Key Words:  Congenital heart disease, Anomalous coronaries, Infant


Su Ye Sohn, Gi Young Jang, Byung Min Choi. Congenital atresia of the left main coronary artery in an infant[J]. Journal of Zhejiang University Science B, 2010, 11(7): 539-541.

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author="Su Ye Sohn, Gi Young Jang, Byung Min Choi",
journal="Journal of Zhejiang University Science B",
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pages="539-541",
year="2010",
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%A Su Ye Sohn
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%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B0900361

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T1 - Congenital atresia of the left main coronary artery in an infant
A1 - Su Ye Sohn
A1 - Gi Young Jang
A1 - Byung Min Choi
J0 - Journal of Zhejiang University Science B
VL - 11
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SP - 539
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PB - Zhejiang University Press & Springer
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DOI - 10.1631/jzus.B0900361


Abstract: 
Congenital atresia of the left main coronary artery is a rare occurrence, and surgical revascularization-bypass 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.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference

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[2]Gebauer, R., Cerny, S., Vojtovic, P., Tax, P., 2008. Congenital atresia of the left coronary artery—myocardial revascularization in two children. Interactive CardioVascular and Thoracic Surgery, 7(6):1174-1175.

[3]Satran, A., Dawn, B., Leesar, M., 2006. Congenital ostial left main coronary artery stenosis associated with a bicuspid aortic valve in a young woman. The Journal of Invasive Cardiology, 18(3):E114-E116.

[4]Singh, C., Singh, H., Kumar, A., Banerji, A.K., Aggarwal, N., Bharadwaj, P., 2005. Congenital atresia of left main coronary artery. Indian Heart Journal, 57(3):255-257.

[5]Sunagawa, M., Shimabukuro, T., Kado, H., Ushinohama, H., Ohta, T., 2005. Congenital atresia of the left main coronary artery; successful surgical treatment (myocardial revascularization and mitral valve repair) in a 1-year-old boy. European Journal of Pediatrics, 164(7):461-462.

[6]Ten Kate, G.J., Weustink, A.C., de Feyter, P.J., 2008. Coronary artery anomalies detected by MSCT-coronary angiography in the adult. Netherlands Heart Journal, 16(11):369-375.

[7]Vidne, B.A., Nili, M., Aygen, M., Levy, M.J., 1979. Congenital atresia of the left main coronary artery ostium. Scandinavian Journal of Thoracic & Cardiovascular Surgery, 13(1):37-40.

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