Surgical Management of Simultaneous Left Coronary Atresia and Anomalous Right Coronary Artery Origin

被引：3

作者：

Sathanandam, Shyam ^{[1
]}

Kumar, T. K. Susheel ^{[1
]}

Boston, Umar ^{[1
]}

Knott-Craig, Christopher J. ^{[1
]}

机构：

[1] Univ Tennessee, LeBonheur Childrens Hosp, Memphis, TN USA

来源：

ANNALS OF THORACIC SURGERY | 2017年 / 103卷 / 06期

关键词：

OSTIUM;

D O I：

10.1016/j.athoracsur.2017.01.056

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 9-year-old child presented with syncope during exercise. He received a diagnosis of congenital atresia of the left main coronary artery by angiography. He underwent successful coronary artery bypass grafting. On the third postoperative day, he experienced acute, precordial chest pain. An urgent computed tomographic scan showed an unrecognized anomalous origin of the right coronary artery (RCA) with a 1.5-cm intramural course. He was taken back to the operating room to undergo unroofing of the RCA. This case highlights the difficulty involved in making two rare diagnoses that can cause the same exact symptoms in a patient and the surgical challenges associated with it. (C) 2017 by The Society of Thoracic Surgeons

引用

页码：E513 / E515

页数：3

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