Case Report: Challenging Perioperative Decision-Making in a Neonate With Transposition of Great Arteries and Novel Coronary Anatomy

Transposition of great arteries (d-TGA) is often associated with various coronary artery (CA) patterns. These anomalous patterns can cause variable clinical symptoms of coronary ischemia including sudden death. CA pattern is one of the major determinants of outcome in TGA postoperatively. An advance...

Descripción completa

Detalles Bibliográficos
Autores principales: Chegondi, Madhuradhar, Ricci, Marco, Ashwath, Ravi C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Pediatrics
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9298846/
https://www.ncbi.nlm.nih.gov/pubmed/35874587
http://dx.doi.org/10.3389/fped.2022.900142
_version_ 1784750805836890112
author Chegondi, Madhuradhar
Ricci, Marco
Ashwath, Ravi C.
author_facet Chegondi, Madhuradhar
Ricci, Marco
Ashwath, Ravi C.
author_sort Chegondi, Madhuradhar
collection PubMed
description Transposition of great arteries (d-TGA) is often associated with various coronary artery (CA) patterns. These anomalous patterns can cause variable clinical symptoms of coronary ischemia including sudden death. CA pattern is one of the major determinants of outcome in TGA postoperatively. An advanced cardiac imaging and a multidisciplinary care approach are essential for a favorable outcome. Here, we describe a novel CA origin pattern in a neonate with d-TGA, who developed myocardial ischemia and required a coronary unroofing procedure for a full recovery.
format Online
Article
Text
id pubmed-9298846
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-92988462022-07-21 Case Report: Challenging Perioperative Decision-Making in a Neonate With Transposition of Great Arteries and Novel Coronary Anatomy Chegondi, Madhuradhar Ricci, Marco Ashwath, Ravi C. Front Pediatr Pediatrics Transposition of great arteries (d-TGA) is often associated with various coronary artery (CA) patterns. These anomalous patterns can cause variable clinical symptoms of coronary ischemia including sudden death. CA pattern is one of the major determinants of outcome in TGA postoperatively. An advanced cardiac imaging and a multidisciplinary care approach are essential for a favorable outcome. Here, we describe a novel CA origin pattern in a neonate with d-TGA, who developed myocardial ischemia and required a coronary unroofing procedure for a full recovery. Frontiers Media S.A. 2022-07-06 /pmc/articles/PMC9298846/ /pubmed/35874587 http://dx.doi.org/10.3389/fped.2022.900142 Text en Copyright © 2022 Chegondi, Ricci and Ashwath. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Chegondi, Madhuradhar
Ricci, Marco
Ashwath, Ravi C.
Case Report: Challenging Perioperative Decision-Making in a Neonate With Transposition of Great Arteries and Novel Coronary Anatomy
title Case Report: Challenging Perioperative Decision-Making in a Neonate With Transposition of Great Arteries and Novel Coronary Anatomy
title_full Case Report: Challenging Perioperative Decision-Making in a Neonate With Transposition of Great Arteries and Novel Coronary Anatomy
title_fullStr Case Report: Challenging Perioperative Decision-Making in a Neonate With Transposition of Great Arteries and Novel Coronary Anatomy
title_full_unstemmed Case Report: Challenging Perioperative Decision-Making in a Neonate With Transposition of Great Arteries and Novel Coronary Anatomy
title_short Case Report: Challenging Perioperative Decision-Making in a Neonate With Transposition of Great Arteries and Novel Coronary Anatomy
title_sort case report: challenging perioperative decision-making in a neonate with transposition of great arteries and novel coronary anatomy
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9298846/
https://www.ncbi.nlm.nih.gov/pubmed/35874587
http://dx.doi.org/10.3389/fped.2022.900142
work_keys_str_mv AT chegondimadhuradhar casereportchallengingperioperativedecisionmakinginaneonatewithtranspositionofgreatarteriesandnovelcoronaryanatomy
AT riccimarco casereportchallengingperioperativedecisionmakinginaneonatewithtranspositionofgreatarteriesandnovelcoronaryanatomy
AT ashwathravic casereportchallengingperioperativedecisionmakinginaneonatewithtranspositionofgreatarteriesandnovelcoronaryanatomy

Ejemplares similares