Document Detail

Congenital atresia of the left main coronary artery in an infant.
MedLine Citation:
PMID:  20593520     Owner:  NLM     Status:  MEDLINE    
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.
Su Ye Sohn; Gi Young Jang; Byung Min Choi
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of Zhejiang University. Science. B     Volume:  11     ISSN:  1862-1783     ISO Abbreviation:  J Zhejiang Univ Sci B     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-01     Completed Date:  2010-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101236535     Medline TA:  J Zhejiang Univ Sci B     Country:  China    
Other Details:
Languages:  eng     Pagination:  539-41     Citation Subset:  IM    
Department of Pediatrics, Korea University Hospital, Ansan, Korea.
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MeSH Terms
Coronary Angiography / adverse effects
Coronary Vessel Anomalies / diagnosis*,  radiography
Fatal Outcome
Heart Catheterization / adverse effects

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