TY - JOUR
T1 - 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
AU - Orr, William B.
AU - Johnson, Mark C.
AU - Abarbanell, Aaron M.
AU - Sintek, Marc
N1 - Publisher Copyright:
© 2019 Wiley Periodicals, Inc.
PY - 2020/3/1
Y1 - 2020/3/1
N2 - 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.
AB - 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.
KW - anomalous left coronary anatomy
KW - cardiothoracic surgery
KW - chronic total coronary occlusion
KW - interventional cardiology
KW - pediatric coronary artery bypass grafting
KW - percutaneous coronary intervention
UR - http://www.scopus.com/inward/record.url?scp=85076106558&partnerID=8YFLogxK
U2 - 10.1002/ccd.28633
DO - 10.1002/ccd.28633
M3 - Article
C2 - 31802625
AN - SCOPUS:85076106558
SN - 1522-1946
VL - 95
SP - 739
EP - 742
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
IS - 4
ER -