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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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
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author Pająk, Jacek
Karolczak, Maciej Aleksander
Buczyński, Michał
Mądry, Wojciech
Grégoire, Darren James
Weryński, Piotr
Król-Jawień, Wanda
Godlewski, Krzysztof
Tomkiewicz-Pająk, Lidia
Kuźma, Jacek
author_facet Pająk, Jacek
Karolczak, Maciej Aleksander
Buczyński, Michał
Mądry, Wojciech
Grégoire, Darren James
Weryński, Piotr
Król-Jawień, Wanda
Godlewski, Krzysztof
Tomkiewicz-Pająk, Lidia
Kuźma, Jacek
author_sort Pająk, Jacek
collection PubMed
description 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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spelling pubmed-85133142021-10-20 Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report Pająk, Jacek Karolczak, Maciej Aleksander Buczyński, Michał Mądry, Wojciech Grégoire, Darren James Weryński, Piotr Król-Jawień, Wanda Godlewski, Krzysztof Tomkiewicz-Pająk, Lidia Kuźma, Jacek J Cardiothorac Surg 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 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. BioMed Central 2021-10-13 /pmc/articles/PMC8513314/ /pubmed/34645497 http://dx.doi.org/10.1186/s13019-021-01681-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Pająk, Jacek
Karolczak, Maciej Aleksander
Buczyński, Michał
Mądry, Wojciech
Grégoire, Darren James
Weryński, Piotr
Król-Jawień, Wanda
Godlewski, Krzysztof
Tomkiewicz-Pająk, Lidia
Kuźma, Jacek
Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report
title Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report
title_full Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report
title_fullStr Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report
title_full_unstemmed Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report
title_short Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report
title_sort coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report
topic Case Report
url 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
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