Document Detail

Ectopic and atretic ostium of left main coronary artery: from interleaflet triangle between left and noncoronary cusps.
MedLine Citation:
PMID:  22412229     Owner:  NLM     Status:  MEDLINE    
Left main coronary artery atresia is an extremely rare coronary anomaly in which there is no left coronary ostium and the left main trunk ends blindly. Ectopic origin of the left coronary artery from the left ventricle is an even rarer condition. Herein, we describe the case of a 37-year-old woman whose left main coronary artery atresia was not corrected during previous surgical correction of patent ductus arteriosus and aortic insufficiency. Five years after that first operation, the patient developed severe angina and heart failure. She underwent coronary artery bypass grafting with greater saphenous vein directly to the left main coronary artery trunk, along with associated procedures. The operative findings revealed an ectopic and atretic ostium of the left main coronary artery from the interleaflet triangle between the left and noncoronary cusps, which we believe is a specific congenital coronary anomaly.
Ta-Chung Shen; Hsin-Hua Chou; Kuei-Ton Tsai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  39     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2012  
Date Detail:
Created Date:  2012-03-13     Completed Date:  2012-11-12     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  60-2     Citation Subset:  IM    
Division of Cardiovascular Surgery, Department of Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch, New Taipei City 23142, Taiwan.
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MeSH Terms
Angina Pectoris / etiology
Coronary Angiography
Coronary Artery Bypass
Coronary Vessel Anomalies* / complications,  diagnosis,  physiopathology,  surgery
Heart Failure / etiology
Saphenous Vein / transplantation
Severity of Illness Index
Treatment Outcome
Comment In:
Tex Heart Inst J. 2012;39(1):55-9   [PMID:  22412228 ]

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