Aborted Sudden Cardiac Death After Unroofing of Anomalous Left Coronary Artery

被引:23
作者
Agrawal, Hitesh
Sexson-Tejtel, S. Kristen
Qureshi, Athar M.
Alam, Mahboob
Masand, Prakash
Fraser, Charles D., Jr.
Molossi, Silvana
Mery, Carlos M.
机构
[1] Texas Childrens Hosp, Coronary Anomalies Program, Houston, TX 77030 USA
[2] Texas Childrens Hosp, Baylor Coll Med, Lillie Frank Abercrombie Sect Cardiol, Houston, TX 77030 USA
[3] Baylor Coll Med, Dept Internal Med, Cardiol Sect, Houston, TX 77030 USA
[4] Texas Childrens Hosp, Pediat Radiol, Houston, TX 77030 USA
[5] Texas Childrens Hosp, Baylor Coll Med, Michael E DeBakey Dept Surg, Div Congenital Heart Surg, Houston, TX 77030 USA
关键词
D O I
10.1016/j.athoracsur.2017.03.016
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe a patient with anomalous left coronary artery with a short intramural course and a previously unrecognized myocardial bridge who presented with a recurrent episode of aborted sudden cardiac death. Intravascular ultrasound and fractional flow reserve showed significant compression at the left coronary artery ostium by the intercoronary pillar and at the myocardial bridge. Intravascular ultrasound and fractional flow reserve were normal after coronary translocation and unroofing of the myocardial bridge. All potential anatomic culprits should be addressed when operating on patients with anomalous coronaries. (C) 2017 by The Society of Thoracic Surgeons
引用
收藏
页码:E265 / E267
页数:3
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