Surgical Treatment for Left Main Coronary Atresia with Significant Mitral Regurgitation in a 1-Year-Old Child

Congenital atresia of the left main coronary artery (LMCA) is an extremely rare coronary anomaly that necessitates surgical correction. Patients with LMCA atresia may have various clinical symptoms, which are determined by the degree of collateral vessel development from the right coronary system, t...

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Autores principales: Ryu, Seung Woo, Pyo, Won Kyung, Choi, Eun Seok, Park, Chun Soo, Yu, Jeong Jin, Yun, Tae-Jin, Chung, Cheol Hyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7946525/
https://www.ncbi.nlm.nih.gov/pubmed/32919445
http://dx.doi.org/10.5090/kjtcs.20.067
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author Ryu, Seung Woo
Pyo, Won Kyung
Choi, Eun Seok
Park, Chun Soo
Yu, Jeong Jin
Yun, Tae-Jin
Chung, Cheol Hyun
author_facet Ryu, Seung Woo
Pyo, Won Kyung
Choi, Eun Seok
Park, Chun Soo
Yu, Jeong Jin
Yun, Tae-Jin
Chung, Cheol Hyun
author_sort Ryu, Seung Woo
collection PubMed
description Congenital atresia of the left main coronary artery (LMCA) is an extremely rare coronary anomaly that necessitates surgical correction. Patients with LMCA atresia may have various clinical symptoms, which are determined by the degree of collateral vessel development from the right coronary system, the metabolic demands of the heart, and concomitant mitral insufficiency caused by myocardial ischemia. Unlike in adults, there are limited surgical options for coronary artery disease in children. Herein, we report a case of LMCA atresia with mitral regurgitation in a 19-month-old child that was successfully corrected by coronary artery bypass grafting and mitral valve repair.
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spelling pubmed-79465252021-03-24 Surgical Treatment for Left Main Coronary Atresia with Significant Mitral Regurgitation in a 1-Year-Old Child Ryu, Seung Woo Pyo, Won Kyung Choi, Eun Seok Park, Chun Soo Yu, Jeong Jin Yun, Tae-Jin Chung, Cheol Hyun J Chest Surg Case Report Congenital atresia of the left main coronary artery (LMCA) is an extremely rare coronary anomaly that necessitates surgical correction. Patients with LMCA atresia may have various clinical symptoms, which are determined by the degree of collateral vessel development from the right coronary system, the metabolic demands of the heart, and concomitant mitral insufficiency caused by myocardial ischemia. Unlike in adults, there are limited surgical options for coronary artery disease in children. Herein, we report a case of LMCA atresia with mitral regurgitation in a 19-month-old child that was successfully corrected by coronary artery bypass grafting and mitral valve repair. The Korean Society for Thoracic and Cardiovascular Surgery 2021-02-05 2021-02-05 /pmc/articles/PMC7946525/ /pubmed/32919445 http://dx.doi.org/10.5090/kjtcs.20.067 Text en Copyright © The Korean Society for Thoracic and Cardiovascular Surgery. 2021. All right reserved. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ryu, Seung Woo
Pyo, Won Kyung
Choi, Eun Seok
Park, Chun Soo
Yu, Jeong Jin
Yun, Tae-Jin
Chung, Cheol Hyun
Surgical Treatment for Left Main Coronary Atresia with Significant Mitral Regurgitation in a 1-Year-Old Child
title Surgical Treatment for Left Main Coronary Atresia with Significant Mitral Regurgitation in a 1-Year-Old Child
title_full Surgical Treatment for Left Main Coronary Atresia with Significant Mitral Regurgitation in a 1-Year-Old Child
title_fullStr Surgical Treatment for Left Main Coronary Atresia with Significant Mitral Regurgitation in a 1-Year-Old Child
title_full_unstemmed Surgical Treatment for Left Main Coronary Atresia with Significant Mitral Regurgitation in a 1-Year-Old Child
title_short Surgical Treatment for Left Main Coronary Atresia with Significant Mitral Regurgitation in a 1-Year-Old Child
title_sort surgical treatment for left main coronary atresia with significant mitral regurgitation in a 1-year-old child
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7946525/
https://www.ncbi.nlm.nih.gov/pubmed/32919445
http://dx.doi.org/10.5090/kjtcs.20.067
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