Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report

BACKGROUND: Coronary steal phenomenon and myocardial ischemia is a complication following decompression of a hypertensive right ventricle in patients with left coronary-cameral fistulae. CASE PRESENTATION: We present a 12-year-old girl with a complex heart defect successfully operated on using a hyb...

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Detalles Bibliográficos
Autores principales: Pająk, Jacek, Karolczak, Maciej Aleksander, Buczyński, Michał, Mądry, Wojciech, Grégoire, Darren James, Weryński, Piotr, Król-Jawień, Wanda, Godlewski, Krzysztof, Tomkiewicz-Pająk, Lidia, Kuźma, Jacek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8513314/
https://www.ncbi.nlm.nih.gov/pubmed/34645497
http://dx.doi.org/10.1186/s13019-021-01681-x
Descripción
Sumario:BACKGROUND: Coronary steal phenomenon and myocardial ischemia is a complication following decompression of a hypertensive right ventricle in patients with left coronary-cameral fistulae. CASE PRESENTATION: We present a 12-year-old girl with a complex heart defect successfully operated on using a hybrid surgical-interventional approach to decompress the ventricle, embolize the fistula and reconstruct the atretic left coronary ostium. CONCLUSIONS: A novel hybrid strategy is the best solution for coronary-cameral fistulas reliant on high ventricular pressure at high risk for coronary steal phenomenon. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13019-021-01681-x.

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