Recanalization of an atretic intramural left main coronary artery after bypass surgery in a pediatric patient with anomalous aortic origin of the left main coronary artery arising from the right sinus of Valsalva.
William B OrrMark C JohnsonAaron M AbarbanellMarc SintekPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
We report a pediatric patient with nonatherosclerotic chronic total occlusion (CTO) of the left main coronary artery (LMCA) leading to complete LMCA atresia which was successfully recanalized via retrograde techniques through a previous internal mammary bypass graft. After the CTO was treated, the artery was found to be anomalous off the right cusp with an intramural coarse and slit-like orifice. The patient's ischemic symptoms resolved after Percutaneous Coronary Intervention (PCI), and she has continued to do well.
Keyphrases
- coronary artery
- pulmonary artery
- percutaneous coronary intervention
- coronary artery bypass
- coronary artery disease
- st segment elevation myocardial infarction
- acute myocardial infarction
- acute coronary syndrome
- st elevation myocardial infarction
- antiplatelet therapy
- minimally invasive
- coronary artery bypass grafting
- atrial fibrillation
- molecular dynamics
- case report
- middle cerebral artery
- aortic valve
- ischemia reperfusion injury
- pulmonary hypertension
- blood brain barrier
- surgical site infection
- depressive symptoms
- physical activity