Recanalization of an atretic intramural left main coronary artery after bypass surgery in a pediatric patient with anomalous aortic origin of the left main coronary artery arising from the right sinus of Valsalva

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Abstract

We report a pediatric patient with nonatherosclerotic chronic total occlusion (CTO) of the left main coronary artery (LMCA) leading to complete LMCA atresia which was successfully recanalized via retrograde techniques through a previous internal mammary bypass graft. After the CTO was treated, the artery was found to be anomalous off the right cusp with an intramural coarse and slit-like orifice. The patient's ischemic symptoms resolved after Percutaneous Coronary Intervention (PCI), and she has continued to do well.

Original languageEnglish
Pages (from-to)739-742
Number of pages4
JournalCatheterization and Cardiovascular Interventions
Volume95
Issue number4
DOIs
StatePublished - Mar 1 2020

Keywords

  • anomalous left coronary anatomy
  • cardiothoracic surgery
  • chronic total coronary occlusion
  • interventional cardiology
  • pediatric coronary artery bypass grafting
  • percutaneous coronary intervention

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