Document Detail

Complete atresia of coronary ostia in pulmonary atresia and intact ventricular septum.
MedLine Citation:
PMID:  12947508     Owner:  NLM     Status:  MEDLINE    
We describe the clinical course, echocardiography, angiography, and histopathology of a female infant with pulmonary atresia and intact ventricular septum (PA/IVS) with complete coronary ostial atresia and right ventricle-dependent coronary circulation who survived for 7 weeks after palliative surgery. The patient expired from myocardial insufficiency while waiting for a donor heart. Postmortem examination demonstrated atretic coronary ostia, ventricular sinusoids, and myocardial infarctions of various ages. This report suggests that neonates with PA/IVS who have this extreme form of coronary abnormality may potentially be managed medically and surgically until cardiac transplantation is available.
S E Selamet; D T Hsu; H M Thaker; W M Gersony
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2003-09-04
Journal Detail:
Title:  Pediatric cardiology     Volume:  25     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    2004 Jan-Feb
Date Detail:
Created Date:  2004-03-24     Completed Date:  2004-04-22     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  67-9     Citation Subset:  IM    
Department of Pediatrics, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA.
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MeSH Terms
Coronary Vessel Anomalies / surgery*
Fatal Outcome
Heart Septal Defects, Ventricular / surgery*
Infant, Newborn
Myocardial Infarction / etiology
Postoperative Complications
Pulmonary Atresia / surgery*

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